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 $196.48 / $294.01 / $348.56	Professional		$196.48	$294.01	$348.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $334.60 / $385.00	Professional		$150.00	$334.60	$385.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $2.25 / $337.94	Facility		$1.26	$2.25	$337.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $294.01 / $294.01	Professional		$256.20	$294.01	$294.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $294.01 / $294.01 / $294.01	Facility		$294.01	$294.01	$294.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $256.20 / $294.01 / $294.01	Professional		$256.20	$294.01	$294.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $244.80 / $244.80 / $244.80	Facility		$244.80	$244.80	$244.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $193.39 / $244.80 / $244.80	Professional		$193.39	$244.80	$244.80