Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $3,467.37 / $6,309.57	Professional		$741.31	$3,467.37	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $5,370.32 / $11,748.98	Professional		$1,737.80	$5,370.32	$11,748.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,890.45 / $5,888.44	Professional		$776.25	$3,890.45	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $7,079.46 / $16,218.10	Professional		$2,041.74	$7,079.46	$16,218.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $7,244.36 / $10,715.19	Professional		$1,905.46	$7,244.36	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $7,762.47 / $8,511.38	Professional		$1,737.80	$7,762.47	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $2,884.03 / $9,549.93	Professional		$891.25	$2,884.03	$9,549.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $8,912.51	Professional		$1,513.56	$1,778.28	$8,912.51