Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $17.10 / $17.10	Professional		$17.10	$17.10	$17.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $6.61 / $6.61	Professional		$5.82	$6.61	$6.61
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $122.29 / $152.74	Professional		$99.61	$122.29	$152.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $17.10 / $119.07	Facility		$7.06	$17.10	$119.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $6.26 / $282.45	Professional		$5.64	$6.26	$282.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $6.61 / $6.61	Facility		$6.44	$6.61	$6.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $6.26 / $6.61	Professional		$5.64	$6.26	$6.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $48.93 / $48.93	Professional		$38.65	$48.93	$48.93