Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $12.50 / $25.00	Professional		$7.26	$12.50	$25.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $103.29 / $147.25	Professional		$12.02	$103.29	$147.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $46.67 / $56.66	Professional		$38.45	$46.67	$56.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.57 / $7.26 / $10.84	Facility		$6.57	$7.26	$10.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $24.00 / $24.00	Professional		$18.96	$24.00	$24.00