Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $79.43	Professional		$63.10	$63.10	$79.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.20 / $30.20	Facility		$26.30	$30.20	$30.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $24.55	Professional		$19.50	$24.55	$24.55