Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Professional		$1.26	$1.26	$1.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.26 / $402.57 / $477.27	Professional		$191.26	$402.57	$477.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $611.84 / $704.00	Professional		$150.00	$611.84	$704.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $2.25 / $462.74	Facility		$1.26	$2.25	$462.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.07 / $402.57 / $402.57	Professional		$350.07	$402.57	$402.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $402.57 / $402.57 / $402.57	Facility		$402.57	$402.57	$402.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $350.07 / $402.57 / $402.57	Professional		$350.07	$402.57	$402.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $335.20 / $335.20 / $335.20	Facility		$335.20	$335.20	$335.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $264.81 / $335.20 / $335.20	Professional		$264.81	$335.20	$335.20