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 $41.69 / $41.69 / $52.48	Professional		$41.69	$41.69	$52.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $151.36	Professional		$45.71	$47.86	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $19.05	Facility		$10.00	$10.00	$19.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $23.99	Professional		$19.05	$23.99	$23.99