Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $3.31 / $3.31	Facility		$0.95	$3.31	$3.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.95 / $3.75	Professional		$0.70	$0.95	$3.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.79 / $0.84	Professional		$0.68	$0.79	$0.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $1.27 / $23.04	Professional		$0.70	$1.27	$23.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.79 / $1.12 / $3.31	Facility		$0.79	$1.12	$3.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $2.18	Professional		$0.63	$0.63	$2.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.75 / $1.07 / $1.75	Facility		$0.75	$1.07	$1.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $1.35 / $3.08	Professional		$0.75	$1.35	$3.08
United Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.74	Professional		$0.70	$0.70	$0.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $0.63	Facility		$0.63	$0.63	$0.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.63	Professional		$0.63	$0.63	$0.63