Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,380.38	Professional		$398.11	$616.60	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,023.29 / $1,778.28	Professional		$467.74	$1,023.29	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $1,621.81	Professional		$354.81	$588.84	$1,621.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $3,630.78	Professional		$660.69	$1,148.15	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,621.81	Professional		$891.25	$1,148.15	$1,621.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $724.44 / $1,380.38	Professional		$436.52	$724.44	$1,380.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,318.26	Professional		$741.31	$870.96	$1,318.26