Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $230.25 / $287.81	Professional		$45.76	$230.25	$287.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $196.20 / $222.40	Professional		$150.00	$196.20	$222.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $3.63 / $52.59	Facility		$2.02	$3.63	$52.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $45.76 / $45.76	Professional		$39.76	$45.76	$45.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $45.76 / $45.76 / $45.76	Facility		$45.76	$45.76	$45.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $39.76 / $45.76 / $45.76	Professional		$39.76	$45.76	$45.76
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $38.10 / $38.10 / $38.10	Facility		$38.10	$38.10	$38.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $38.10 / $38.10	Professional		$30.10	$38.10	$38.10