Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.90 / $1,295.39 / $1,708.16	Professional		$975.90	$1,295.39	$1,708.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $1,990.13 / $3,015.77	Professional		$742.34	$1,990.13	$3,015.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,373.38 / $1,605.13 / $2,984.52	Professional		$1,373.38	$1,605.13	$2,984.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,056.88 / $1,541.03 / $3,015.77	Facility		$1,056.88	$1,541.03	$3,015.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $713.37 / $771.56 / $1,543.12	Professional		$713.37	$771.56	$1,543.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,540.31 / $1,701.21 / $3,015.77	Facility		$1,540.31	$1,701.21	$3,015.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,393.30 / $1,677.00 / $3,015.77	Professional		$1,393.30	$1,677.00	$3,015.77
United Facility/Professional Professional Modifier Low / Median / High Price $642.97 / $771.56 / $1,033.35	Professional		$642.97	$771.56	$1,033.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,633.07 / $3,333.00 / $3,333.00	Professional		$2,633.07	$3,333.00	$3,333.00