Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.24 / $3.89	Facility		$1.95	$2.24	$3.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.00 / $3.31	Professional		$1.00	$2.00	$3.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.45	Professional		$2.00	$2.00	$2.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $7.41 / $151.36	Professional		$1.95	$7.41	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $2.09 / $2.75	Facility		$1.91	$2.09	$2.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $2.75	Professional		$1.91	$1.91	$2.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.34 / $2.34	Professional		$2.09	$2.34	$2.34
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95
United Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.04	Professional		$1.95	$1.95	$2.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $1.95	Facility		$1.95	$1.95	$1.95