Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.58 / $3.58 / $7.91	Facility		$3.58	$3.58	$7.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.86 / $3.58	Professional		$2.86	$2.86	$3.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $14.12 / $150.00	Professional		$14.12	$14.12	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2.14 / $3.58	Facility		$1.00	$2.14	$3.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $3.07	Professional		$2.98	$2.98	$3.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $3.76 / $5.33	Facility		$3.08	$3.76	$5.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.41 / $3.41 / $3.41	Professional		$3.41	$3.41	$3.41
United Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Facility		$3.60	$3.60	$3.60
United Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $3.07	Professional		$2.98	$2.98	$3.07
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Facility		$2.98	$2.98	$2.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.98 / $2.98 / $2.98	Professional		$2.98	$2.98	$2.98