Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $1.90 / $4.20	Facility		$1.90	$1.90	$4.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.52 / $1.52 / $1.90	Professional		$1.52	$1.52	$1.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.67 / $1.97	Professional		$1.58	$1.67	$1.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.27 / $2.27 / $150.00	Professional		$2.27	$2.27	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.68 / $1.68 / $2.57	Facility		$1.68	$1.68	$2.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.63	Professional		$1.58	$1.58	$1.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.90 / $2.94 / $4.05	Facility		$1.90	$2.94	$4.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.90 / $1.90 / $1.90	Professional		$1.90	$1.90	$1.90
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.68	Professional		$1.58	$1.58	$1.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Facility		$1.58	$1.58	$1.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Professional		$1.58	$1.58	$1.58