Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.55 / $5.75	Facility		$2.88	$3.55	$5.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $3.55	Professional		$2.00	$3.02	$3.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $151.36	Professional		$14.13	$14.13	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $2.14 / $4.47	Facility		$2.14	$2.14	$4.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $3.16	Professional		$2.95	$2.95	$3.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
United Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.09	Facility		$2.09	$2.09	$2.09
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $3.09	Professional		$2.95	$2.95	$3.09
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Facility		$2.95	$2.95	$2.95