Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,121.32 / $1,783.23 / $2,493.16	Professional		$1,121.32	$1,783.23	$2,493.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,354.80 / $3,208.92 / $4,207.14	Professional		$2,354.80	$3,208.92	$4,207.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,138.83 / $2,008.50 / $4,376.30	Professional		$1,138.83	$2,008.50	$4,376.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,641.21 / $3,096.89 / $10,738.32	Professional		$1,641.21	$3,096.89	$10,738.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,480.33 / $3,118.20 / $3,789.12	Professional		$2,480.33	$3,118.20	$3,789.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,500.48 / $2,283.42 / $4,507.35	Professional		$1,500.48	$2,283.42	$4,507.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.10 / $2,573.00 / $3,328.00	Professional		$2,187.10	$2,573.00	$3,328.00