Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $3,090.30	Professional		$1,202.26	$1,548.82	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $4,570.88	Professional		$2,187.76	$3,548.13	$4,570.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,905.46 / $4,897.79	Professional		$1,230.27	$1,905.46	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $3,311.31 / $10,715.19	Professional		$1,737.80	$3,311.31	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,388.44 / $4,073.80	Professional		$3,019.95	$3,388.44	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $4,073.80	Professional		$2,691.53	$3,311.31	$4,073.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,187.76 / $4,168.69	Professional		$1,348.96	$2,187.76	$4,168.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $3,548.13	Professional		$2,344.23	$2,754.23	$3,548.13