Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $930.58 / $1,153.25 / $1,735.95	Professional		$930.58	$1,153.25	$1,735.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,994.00 / $2,348.37 / $2,870.01	Professional		$1,994.00	$2,348.37	$2,870.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $916.13 / $1,501.93 / $2,743.60	Professional		$916.13	$1,501.93	$2,743.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,126.25 / $2,165.94 / $9,057.00	Professional		$1,126.25	$2,165.94	$9,057.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,638.00 / $2,283.27 / $3,112.87	Professional		$1,638.00	$2,283.27	$3,112.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,075.05 / $1,638.18 / $3,071.58	Professional		$1,075.05	$1,638.18	$3,071.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,529.60 / $1,936.20 / $2,277.80	Professional		$1,529.60	$1,936.20	$2,277.80