Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.74 / $29.74 / $37.17	Professional		$29.74	$29.74	$37.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $232.88 / $291.08	Professional		$36.47	$232.88	$291.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.74 / $35.69 / $66.53	Facility		$29.74	$35.69	$66.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $36.47 / $36.47	Professional		$36.47	$36.47	$36.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $36.47 / $36.47	Facility		$36.47	$36.47	$36.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $36.47 / $36.47	Professional		$36.47	$36.47	$36.47
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $27.45 / $27.45 / $27.45	Facility		$27.45	$27.45	$27.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $27.45 / $27.45	Professional		$21.69	$27.45	$27.45