Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.09 / $1.72 / $2.29	Facility		$1.09	$1.72	$2.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.62 / $0.62 / $675.52	Professional		$0.62	$0.62	$675.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.75 / $0.94 / $0.94	Professional		$0.75	$0.94	$0.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.45 / $150.00	Professional		$2.14	$2.45	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.22	Facility		$1.00	$1.00	$1.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.67 / $0.69	Professional		$0.67	$0.67	$0.69
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1.50 / $2.00 / $2.94	Facility		$1.50	$2.00	$2.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1.22 / $1.22 / $1.22	Professional		$1.22	$1.22	$1.22
United Facility/Professional Professional Modifier Low / Median / High Price $0.67 / $0.67 / $0.74	Professional		$0.67	$0.67	$0.74
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Facility		$1.00	$1.00	$1.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $1.00	Professional		$1.00	$1.00	$1.00