Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $4.03 / $8.91	Facility		$4.03	$4.03	$8.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.22 / $3.22 / $4.03	Professional		$3.22	$3.22	$4.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.28 / $3.28	Professional		$2.63	$3.28	$3.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $5.97 / $150.00	Professional		$5.20	$5.97	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3.73 / $4.03	Facility		$1.00	$3.73	$4.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $3.46	Professional		$3.36	$3.36	$3.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3.04 / $3.86	Facility		$1.00	$3.04	$3.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $3.73 / $3.73	Professional		$3.73	$3.73	$3.73
United Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $3.43	Professional		$3.36	$3.36	$3.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.36 / $3.36 / $3.36	Facility		$3.36	$3.36	$3.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $3.36 / $3.36 / $3.36	Professional		$3.36	$3.36	$3.36