Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $26.40 / $105.13	Facility		$1.61	$26.40	$105.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.73 / $0.85 / $0.85	Professional		$0.73	$0.85	$0.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.47 / $25.74	Professional		$0.38	$0.47	$25.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.49 / $2.00	Professional		$1.12	$1.49	$2.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.60 / $1.46 / $90.00	Facility		$0.60	$1.46	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.09 / $1.65 / $4.25	Professional		$1.09	$1.65	$4.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $0.89 / $1.26 / $4.68	Facility		$0.89	$1.26	$4.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.26 / $29.25	Professional		$0.89	$1.26	$29.25
United Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.65 / $2.73	Professional		$1.12	$1.65	$2.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $30.58 / $30.58	Professional		$24.16	$30.58	$30.58