Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $3.00 / $3.00	Professional		$3.00	$3.00	$3.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $52.85 / $62.65	Professional		$8.50	$52.85	$62.65
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 $3.00 / $5.37 / $60.75	Facility		$3.00	$5.37	$60.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $52.85 / $52.85	Professional		$46.03	$52.85	$52.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.70 / $52.85 / $52.85	Facility		$50.70	$52.85	$52.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $49.33 / $52.85	Professional		$46.03	$49.33	$52.85
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $44.00 / $44.00	Facility		$44.00	$44.00	$44.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $34.76 / $44.00 / $44.00	Professional		$34.76	$44.00	$44.00