Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.88 / $4.57	Facility		$2.29	$2.88	$4.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $3.02	Professional		$2.00	$2.00	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.86 / $1.86	Professional		$1.51	$1.86	$1.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $28.18 / $151.36	Professional		$1.82	$28.18	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $3.31 / $6.17	Facility		$1.00	$3.31	$6.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.10 / $2.57 / $4.90	Professional		$1.10	$2.57	$4.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $6.17 / $6.17	Professional		$3.02	$6.17	$6.17
United Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $1.35 / $1.35	Facility		$1.35	$1.35	$1.35
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.40 / $2.63	Professional		$2.29	$2.40	$2.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Facility		$2.51	$2.51	$2.51