Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $20.89	Professional		$12.02	$15.14	$20.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $114.82	Professional		$70.79	$87.10	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.89 / $44.67	Facility		$15.85	$20.89	$44.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $48.98 / $120.23	Professional		$25.70	$48.98	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $64.57	Professional		$23.44	$38.02	$64.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $64.57	Professional		$36.31	$38.02	$64.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $53.70	Professional		$42.66	$53.70	$53.70