Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $63.59 / $79.48	Professional		$27.69	$63.59	$79.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $33.70 / $50.38	Professional		$31.71	$33.70	$50.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $90.00 / $90.00	Facility		$10.00	$90.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $84.07 / $84.07	Professional		$84.07	$84.07	$84.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.78 / $67.78 / $84.07	Professional		$67.78	$67.78	$84.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $69.70 / $69.70	Professional		$46.77	$69.70	$69.70