Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.41 / $507.75 / $634.69	Professional		$118.41	$507.75	$634.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $363.28 / $418.00	Professional		$150.00	$363.28	$418.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $71.59 / $136.11	Facility		$40.00	$71.59	$136.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $118.41 / $118.41	Professional		$102.86	$118.41	$118.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $118.41 / $118.41 / $118.41	Facility		$118.41	$118.41	$118.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $118.41 / $118.41	Professional		$102.86	$118.41	$118.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $98.60 / $98.60 / $98.60	Facility		$98.60	$98.60	$98.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $98.60 / $98.60	Professional		$77.89	$98.60	$98.60