Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $9.60 / $12.00	Professional		$9.60	$9.60	$12.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $70.78 / $195.53	Professional		$56.63	$70.78	$195.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $203.95 / $250.39 / $312.74	Professional		$203.95	$250.39	$312.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $16.22 / $565.77	Facility		$9.60	$16.22	$565.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $452.38 / $469.33 / $530.83	Professional		$452.38	$469.33	$530.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $516.84 / $530.83 / $530.83	Facility		$516.84	$530.83	$530.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $452.38 / $502.91 / $530.83	Professional		$452.38	$502.91	$530.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.22 / $63.57 / $63.57	Professional		$50.22	$63.57	$63.57