Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.98 / $2.77 / $2.77	Facility		$0.98	$2.77	$2.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.77 / $2.77	Professional		$0.65	$0.77	$2.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.71 / $0.75	Professional		$0.60	$0.71	$0.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $1.69 / $4.93	Professional		$0.70	$1.69	$4.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.71 / $1.00 / $2.77	Facility		$0.71	$1.00	$2.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.84	Professional		$0.65	$0.65	$0.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $0.81 / $1.10	Facility		$0.67	$0.81	$1.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.64 / $0.78 / $1.69	Professional		$0.64	$0.78	$1.69
United Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $0.70 / $0.72	Professional		$0.70	$0.70	$0.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $0.65 / $0.65	Facility		$0.65	$0.65	$0.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.65	Professional		$0.65	$0.65	$0.65