Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $6.46 / $9.77	Professional		$2.40	$6.46	$9.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $275.42	Professional		$151.36	$199.53	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.69 / $11.75	Facility		$2.40	$2.69	$11.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $7.08	Professional		$2.40	$2.40	$7.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $7.08 / $7.08	Professional		$2.40	$7.08	$7.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.00	Professional		$2.00	$2.00	$2.00