Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,277.00 / $5,549.00 / $11,100.08	Facility		$4,277.00	$5,549.00	$11,100.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $21.02 / $21.02	Professional		$18.50	$21.02	$21.02
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 $21.49 / $56.87 / $106.97	Facility		$21.49	$56.87	$106.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.02 / $21.02 / $21.02	Professional		$18.02	$21.02	$21.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $21.02 / $21.02	Facility		$20.60	$21.02	$21.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $20.05 / $21.02	Professional		$18.70	$20.05	$21.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $39.25 / $39.25	Professional		$39.25	$39.25	$39.25