Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,819.70 / $3,235.94	Professional		$416.87	$1,819.70	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,778.28 / $5,495.41	Professional		$616.60	$1,778.28	$5,495.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $2,398.83 / $4,677.35	Professional		$380.19	$2,398.83	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $14,125.38	Professional		$1,202.26	$4,265.80	$14,125.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $4,073.80 / $5,495.41	Professional		$933.25	$4,073.80	$5,495.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $4,168.69 / $5,370.32	Professional		$812.83	$4,168.69	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,862.09 / $5,623.41	Professional		$467.74	$1,862.09	$5,623.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $4,365.16	Professional		$812.83	$1,000.00	$4,365.16