Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $933.25	Professional		$338.84	$524.81	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,584.89	Professional		$660.69	$1,023.29	$1,584.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $645.65 / $1,412.54	Professional		$354.81	$645.65	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,000.00 / $2,818.38	Professional		$524.81	$1,000.00	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $1,412.54	Professional		$831.76	$1,000.00	$1,412.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,412.54	Professional		$676.08	$977.24	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,258.93	Professional		$380.19	$630.96	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $851.14 / $1,202.26	Professional		$724.44	$851.14	$1,202.26