Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,548.82 / $2,818.38	Professional		$724.44	$1,548.82	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,630.27 / $4,897.79	Professional		$1,621.81	$2,630.27	$4,897.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,905.46 / $2,818.38	Professional		$741.31	$1,905.46	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,019.95 / $8,709.64	Professional		$1,621.81	$3,019.95	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $4,466.84	Professional		$1,819.70	$2,951.21	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,630.78 / $4,466.84	Professional		$1,659.59	$3,630.78	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,778.28 / $4,073.80	Professional		$831.76	$1,778.28	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $3,630.78	Professional		$1,445.44	$1,698.24	$3,630.78