Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.81 / $2.81 / $2.81	Professional		$2.81	$2.81	$2.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.24 / $372.00 / $465.00	Professional		$86.24	$372.00	$465.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $714.94 / $822.63	Professional		$150.00	$714.94	$822.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $5.03 / $99.11	Facility		$2.81	$5.03	$99.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $86.24 / $86.24	Professional		$74.93	$86.24	$86.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.24 / $86.24 / $86.24	Facility		$86.24	$86.24	$86.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $86.24 / $86.24	Professional		$74.93	$86.24	$86.24
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $71.80 / $71.80	Professional		$56.72	$71.80	$71.80