Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $6,165.95	Professional		$933.25	$1,258.93	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,951.21	Professional		$1,862.09	$2,344.23	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $2,818.38	Professional		$954.99	$1,412.54	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,089.30 / $9,120.11	Professional		$1,122.02	$2,089.30	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,454.71 / $2,691.53	Professional		$2,187.76	$2,454.71	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $2,691.53	Professional		$2,187.76	$2,290.87	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $3,019.95	Professional		$1,023.29	$1,548.82	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,290.87	Professional		$1,513.56	$1,949.84	$2,290.87