Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $45.71 / $120.23	Facility		$15.85	$45.71	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $8.71 / $34.67	Professional		$1.62	$8.71	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.05 / $0.05	Professional		$0.04	$0.05	$0.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.09 / $1.15	Professional		$0.05	$0.09	$1.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.08 / $0.15 / $1.00	Facility		$0.08	$0.15	$1.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.06 / $0.06 / $0.16	Professional		$0.06	$0.06	$0.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $0.09	Professional		$0.08	$0.09	$0.09
United Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $0.10	Facility		$0.10	$0.10	$0.10
United Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.05 / $0.06	Professional		$0.05	$0.05	$0.06
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.05 / $0.05 / $0.05	Facility		$0.05	$0.05	$0.05