Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $4.00	Professional		$4.00	$4.00	$4.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.33 / $83.67 / $113.91	Professional		$1.33	$83.67	$113.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.46 / $68.09 / $150.00	Professional		$62.46	$68.09	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $7.16 / $110.44	Facility		$4.00	$7.16	$110.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $83.67	Professional		$18.01	$18.01	$83.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.01 / $92.15	Facility		$18.01	$18.01	$92.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $83.67 / $89.67	Professional		$18.01	$83.67	$89.67
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Facility		$15.00	$15.00	$15.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $15.00 / $15.00	Professional		$11.85	$15.00	$15.00