Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $0.82 / $1.00	Professional		$0.82	$0.82	$1.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $49.24 / $49.24	Professional		$43.33	$49.24	$49.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.84 / $139.76 / $174.56	Professional		$113.84	$139.76	$174.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.82 / $1.39 / $160.03	Facility		$0.82	$1.39	$160.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $141.37 / $141.37	Professional		$46.89	$141.37	$141.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.19 / $49.24 / $49.24	Facility		$48.19	$49.24	$49.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.18 / $46.89 / $49.24	Professional		$42.18	$46.89	$49.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $62.31 / $62.31	Professional		$49.22	$62.31	$62.31