Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.64 / $53.12 / $71.43	Facility		$33.64	$53.12	$71.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $19.22 / $19.22	Professional		$19.22	$19.22	$19.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $27.83 / $27.83 / $150.00	Professional		$27.83	$27.83	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $19.80 / $32.47	Facility		$19.80	$19.80	$32.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $32.94 / $45.36	Facility		$28.23	$32.94	$45.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $20.02 / $20.02 / $20.02	Facility		$20.02	$20.02	$20.02