Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $45.71	Professional		$36.31	$36.31	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $27.54 / $151.36	Professional		$26.30	$27.54	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $16.98	Facility		$7.94	$7.94	$16.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $23.99	Professional		$18.62	$23.99	$23.99