Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.24 / $1,876.73 / $2,549.41	Professional		$1,177.24	$1,876.73	$2,549.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,438.35 / $3,354.03 / $4,256.81	Professional		$2,438.35	$3,354.03	$4,256.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,192.77 / $2,103.62 / $3,435.23	Professional		$1,192.77	$2,103.62	$3,435.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,688.69 / $3,186.49 / $10,902.32	Professional		$1,688.69	$3,186.49	$10,902.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,573.44 / $3,194.64 / $3,982.33	Professional		$2,573.44	$3,194.64	$3,982.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,541.85 / $2,349.48 / $4,558.30	Professional		$1,541.85	$2,349.48	$4,558.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,266.19 / $2,692.30 / $3,374.90	Professional		$2,266.19	$2,692.30	$3,374.90