Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.87 / $691.41 / $1,054.13	Professional		$367.87	$691.41	$1,054.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.64 / $1,052.06 / $1,617.73	Professional		$464.64	$1,052.06	$1,617.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $356.28 / $643.78 / $1,369.03	Professional		$356.28	$643.78	$1,369.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $640.66 / $1,070.20 / $3,604.00	Professional		$640.66	$1,070.20	$3,604.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.00 / $1,079.21 / $1,617.73	Professional		$812.00	$1,079.21	$1,617.73
United Facility/Professional Professional Modifier Low / Median / High Price $603.21 / $753.50 / $1,587.44	Professional		$603.21	$753.50	$1,587.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $746.40 / $878.20 / $1,317.30	Professional		$746.40	$878.20	$1,317.30