Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $32.36	Professional		$26.30	$26.30	$32.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $120.23 / $151.36	Professional		$114.82	$120.23	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.80 / $13.80	Facility		$13.18	$13.80	$13.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $23.99	Professional		$19.05	$23.99	$23.99