Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.95 / $9.38 / $9.38	Facility		$5.95	$9.38	$9.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $7.13 / $20.00	Professional		$5.07	$7.13	$20.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Professional		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $17.44 / $885.11	Facility		$8.75	$17.44	$885.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.66 / $15.48 / $31.46	Professional		$9.66	$15.48	$31.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $7.07 / $13.59 / $21.53	Facility		$7.07	$13.59	$21.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $7.07 / $13.59 / $21.53	Professional		$7.07	$13.59	$21.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $26.20 / $26.20	Professional		$20.70	$26.20	$26.20