Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.98 / $618.29 / $804.63	Professional		$434.98	$618.29	$804.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.62 / $1,171.76 / $1,429.18	Professional		$580.62	$1,171.76	$1,429.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.09 / $709.19 / $1,150.60	Professional		$375.09	$709.19	$1,150.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $584.66 / $1,047.32 / $4,989.00	Professional		$584.66	$1,047.32	$4,989.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $790.23 / $1,077.38 / $1,432.55	Professional		$790.23	$1,077.38	$1,432.55
United Facility/Professional Professional Modifier Low / Median / High Price $559.25 / $744.80 / $1,425.20	Professional		$559.25	$744.80	$1,425.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.70 / $872.60 / $1,123.00	Professional		$741.70	$872.60	$1,123.00