Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.15 / $931.96 / $1,307.44	Professional		$620.15	$931.96	$1,307.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,268.74 / $1,669.38 / $2,287.63	Professional		$1,268.74	$1,669.38	$2,287.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $580.95 / $1,046.44 / $2,407.09	Professional		$580.95	$1,046.44	$2,407.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $878.12 / $1,575.30 / $5,754.80	Professional		$878.12	$1,575.30	$5,754.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,232.63 / $1,608.31 / $2,142.89	Professional		$1,232.63	$1,608.31	$2,142.89
United Facility/Professional Professional Modifier Low / Median / High Price $802.95 / $1,430.01 / $2,278.84	Professional		$802.95	$1,430.01	$2,278.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,170.59 / $1,377.10 / $1,787.10	Professional		$1,170.59	$1,377.10	$1,787.10