Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,462.24 / $1,961.70	Facility		$936.00	$1,462.24	$1,961.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $57.93 / $1,945.84	Professional		$38.00	$57.93	$1,945.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.00 / $1,875.00 / $2,267.50	Professional		$1,025.00	$1,875.00	$2,267.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.00 / $1,300.00 / $2,115.41	Professional		$1,105.00	$1,300.00	$2,115.41
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 / $5,857.28	Professional		$45.75	$60.00	$5,857.28
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.00 / $82.40	Professional		$45.00	$55.00	$82.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,664.00 / $1,664.00 / $2,132.00	Professional		$1,664.00	$1,664.00	$2,132.00