Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $4.04 / $7.67	Professional		$4.04	$4.04	$7.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $11.47 / $15.66	Professional		$4.32	$11.47	$15.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.04 / $7.07 / $15.18	Facility		$4.04	$7.07	$15.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $4.32 / $11.47	Professional		$4.32	$4.32	$11.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $4.32 / $4.32 / $12.63	Facility		$4.32	$4.32	$12.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $11.47 / $12.29	Professional		$4.32	$11.47	$12.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $3.60 / $3.60 / $3.60	Facility		$3.60	$3.60	$3.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $3.60 / $3.60	Professional		$2.84	$3.60	$3.60