Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $7.60 / $7.60	Facility		$2.73	$7.60	$7.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $6.33	Professional		$2.73	$2.73	$6.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $2.04 / $2.16	Professional		$1.73	$2.04	$2.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $14.49 / $19.53	Professional		$2.73	$14.49	$19.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $7.60 / $100.00	Facility		$2.04	$7.60	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $1.97 / $7.77	Professional		$0.79	$1.97	$7.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.36 / $12.45	Facility		$2.04	$2.36	$12.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $7.17 / $22.61	Professional		$2.15	$7.17	$22.61
United Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $2.73 / $4.49	Professional		$1.09	$2.73	$4.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $1.97 / $1.97	Facility		$1.97	$1.97	$1.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.97 / $2.15	Professional		$1.70	$1.97	$2.15