Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $4.32 / $4.32	Facility		$1.35	$4.32	$4.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.56	Professional		$1.35	$1.35	$2.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.36 / $4.36 / $4.36	Facility		$4.36	$4.36	$4.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.24 / $1.43 / $1.55	Professional		$1.24	$1.43	$1.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $8.16 / $15.88	Professional		$1.35	$8.16	$15.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $2.18 / $100.00	Facility		$1.28	$2.18	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.51 / $1.28 / $2.97	Professional		$0.51	$1.28	$2.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.04 / $1.53 / $4.40	Facility		$1.04	$1.53	$4.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.43 / $2.47 / $6.18	Professional		$1.43	$2.47	$6.18
United Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $1.35 / $2.22	Professional		$0.54	$1.35	$2.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.28 / $1.28 / $1.28	Facility		$1.28	$1.28	$1.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.11 / $1.28 / $1.40	Professional		$1.11	$1.28	$1.40