Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $618.64 / $829.95	Facility		$396.00	$618.64	$829.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $57.93 / $829.95	Professional		$43.50	$57.93	$829.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.00 / $750.00 / $907.00	Professional		$410.00	$750.00	$907.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.50 / $550.00 / $894.98	Professional		$467.50	$550.00	$894.98
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 / $2,478.08	Professional		$45.75	$60.00	$2,478.08
United Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $60.00 / $82.47	Professional		$45.75	$60.00	$82.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $704.00 / $704.00 / $902.00	Professional		$704.00	$704.00	$902.00