Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $506.16 / $679.05	Facility		$324.00	$506.16	$679.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $57.93 / $673.56	Professional		$38.00	$57.93	$673.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.00 / $600.00 / $725.60	Professional		$328.00	$600.00	$725.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $427.14 / $650.90	Professional		$340.00	$427.14	$650.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $89.21 / $4,055.10	Facility		$57.93	$89.21	$4,055.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $60.00 / $2,027.52	Professional		$45.75	$60.00	$2,027.52
United Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $52.99 / $82.40	Professional		$45.30	$52.99	$82.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $576.00 / $576.00 / $738.00	Professional		$576.00	$576.00	$738.00