Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $3.84 / $3.84	Facility		$3.84	$3.84	$3.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $3.84	Professional		$2.54	$2.54	$3.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $5.53	Facility		$5.15	$5.15	$5.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $3.06 / $3.51	Professional		$2.59	$3.06	$3.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $7.89	Professional		$2.54	$2.54	$7.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $3.84 / $14.48	Facility		$2.56	$3.84	$14.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.56 / $2.56 / $5.12	Professional		$2.56	$2.56	$5.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2.90 / $3.06 / $3.81	Facility		$2.90	$3.06	$3.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $3.07 / $3.81	Professional		$3.01	$3.07	$3.81
United Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $2.54 / $2.79	Professional		$2.54	$2.54	$2.79
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $2.56 / $2.56 / $2.56	Facility		$2.56	$2.56	$2.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.56 / $2.56	Professional		$2.02	$2.56	$2.56