Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $2.69 / $10.00	Facility		$2.00	$2.69	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $4.47	Professional		$2.00	$2.00	$4.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.39	Professional		$2.69	$2.69	$3.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.63 / $6.46	Professional		$2.19	$2.63	$6.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.63 / $3.80	Facility		$2.45	$2.63	$3.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $3.63	Professional		$2.63	$2.63	$3.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.16 / $3.16	Professional		$2.63	$3.16	$3.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
United Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $2.75	Professional		$2.63	$2.63	$2.75
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63