Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.18 / $1,267.93 / $1,680.47	Professional		$811.18	$1,267.93	$1,680.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,655.02 / $2,188.48 / $2,845.66	Professional		$1,655.02	$2,188.48	$2,845.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $803.20 / $1,397.73 / $2,175.14	Professional		$803.20	$1,397.73	$2,175.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,131.34 / $2,114.94 / $10,173.00	Professional		$1,131.34	$2,114.94	$10,173.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,654.92 / $2,114.94 / $2,698.43	Professional		$1,654.92	$2,114.94	$2,698.43
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.29 / $1,574.05 / $2,940.96	Professional		$1,028.29	$1,574.05	$2,940.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,506.21 / $1,822.60 / $2,243.10	Professional		$1,506.21	$1,822.60	$2,243.10