Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $22.95 / $31.33	Professional		$9.36	$22.95	$31.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $58.46 / $150.00	Professional		$54.92	$58.46	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $29.96 / $49.61	Facility		$20.00	$29.96	$49.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $9.36 / $22.95	Professional		$9.36	$9.36	$22.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $9.36 / $9.36 / $25.27	Facility		$9.36	$9.36	$25.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $22.95 / $24.59	Professional		$9.36	$22.95	$24.59
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $7.80 / $7.80 / $7.80	Facility		$7.80	$7.80	$7.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $6.16 / $7.80 / $7.80	Professional		$6.16	$7.80	$7.80