Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.00 / $39.20	Professional		$10.00	$12.00	$39.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $33.63 / $33.63	Professional		$8.96	$33.63	$33.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $179.62 / $325.11	Professional		$152.68	$179.62	$325.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.13 / $31.13 / $100.00	Facility		$31.13	$31.13	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $33.63 / $33.63	Professional		$33.63	$33.63	$33.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $33.63 / $33.63	Facility		$33.63	$33.63	$33.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $33.63 / $33.63 / $33.63	Professional		$33.63	$33.63	$33.63
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $28.00 / $28.00	Facility		$28.00	$28.00	$28.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $28.00 / $28.00	Professional		$22.12	$28.00	$28.00