Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $100.00 / $151.36	Professional		$95.50	$100.00	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $21.88	Facility		$17.78	$17.78	$21.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $23.99	Professional		$19.05	$23.99	$23.99