Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $756.76 / $1,537.43 / $2,807.09	Professional		$756.76	$1,537.43	$2,807.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,634.63 / $3,446.54 / $4,740.82	Professional		$1,634.63	$3,446.54	$4,740.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $746.97 / $2,008.62 / $2,812.73	Professional		$746.97	$2,008.62	$2,812.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,670.38 / $3,328.63 / $10,940.80	Professional		$1,670.38	$3,328.63	$10,940.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,634.63 / $2,795.39 / $4,486.39	Professional		$1,634.63	$2,795.39	$4,486.39
United Facility/Professional Professional Modifier Low / Median / High Price $1,670.38 / $2,585.34 / $4,847.52	Professional		$1,670.38	$2,585.34	$4,847.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,441.40 / $1,695.70 / $3,666.30	Professional		$1,441.40	$1,695.70	$3,666.30