Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $64.80 / $64.80	Professional		$64.80	$64.80	$64.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $94.88 / $94.88	Professional		$27.79	$94.88	$94.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.91 / $78.72 / $158.35	Professional		$66.91	$78.72	$158.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $68.04 / $109.07	Facility		$64.80	$68.04	$109.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $94.88 / $94.88	Professional		$83.85	$94.88	$94.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $89.85 / $94.88	Professional		$83.85	$89.85	$94.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Professional		$68.90	$68.90	$68.90