Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.90 / $0.90 / $5.12	Professional		$0.90	$0.90	$5.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $24.02 / $28.48	Professional		$20.92	$24.02	$28.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.27 / $24.77 / $150.00	Professional		$23.27	$24.77	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.90 / $9.65 / $27.62	Facility		$0.90	$9.65	$27.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $24.02 / $24.02	Professional		$20.92	$24.02	$24.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $23.03 / $24.02 / $24.02	Facility		$23.03	$24.02	$24.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $22.41 / $24.02	Professional		$20.92	$22.41	$24.02
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Facility		$20.00	$20.00	$20.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $20.00 / $20.00	Professional		$15.80	$20.00	$20.00