Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.80	Professional		$3.02	$3.02	$3.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.50	Facility		$5.13	$5.13	$5.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.63 / $3.24	Professional		$2.51	$2.63	$3.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $4.37 / $9.55	Professional		$2.14	$4.37	$9.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $3.31 / $14.45	Facility		$2.57	$3.31	$14.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $4.57	Professional		$2.57	$2.57	$4.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.09 / $3.89	Professional		$3.02	$3.09	$3.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.50 / $6.03	Facility		$5.13	$5.50	$6.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $4.17	Facility		$2.51	$2.51	$4.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.24 / $3.39	Professional		$3.02	$3.24	$3.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Facility		$2.51	$2.51	$2.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Professional		$2.51	$2.51	$2.51