Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $3.26 / $3.26	Facility		$0.44	$3.26	$3.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $0.44 / $1.15	Professional		$0.44	$0.44	$1.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.83 / $2.83 / $2.83	Facility		$2.83	$2.83	$2.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.35 / $0.38	Professional		$0.30	$0.35	$0.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.44 / $1.64 / $23.78	Professional		$0.44	$1.64	$23.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $1.12 / $100.00	Facility		$0.28	$1.12	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.28 / $0.97	Professional		$0.12	$0.28	$0.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.35 / $1.79	Facility		$0.28	$0.35	$1.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.28 / $0.67 / $6.97	Professional		$0.28	$0.67	$6.97
United Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $0.44 / $0.56	Professional		$0.18	$0.44	$0.56
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.28	Facility		$0.28	$0.28	$0.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.28 / $0.31	Professional		$0.24	$0.28	$0.31