Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $15.85	Professional		$7.94	$10.96	$15.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $66.07	Professional		$53.70	$60.26	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $16.22 / $36.31	Facility		$12.59	$16.22	$36.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $100.00 / $100.00	Professional		$23.44	$100.00	$100.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $34.67 / $40.74	Professional		$16.22	$34.67	$40.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $57.54	Professional		$23.44	$34.67	$57.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84