Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $393.68 / $528.15	Facility		$252.00	$393.68	$528.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $57.93 / $528.15	Professional		$43.50	$57.93	$528.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $450.00 / $544.20	Professional		$246.00	$450.00	$544.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.50 / $350.00 / $569.53	Professional		$297.50	$350.00	$569.53
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 / $1,576.96	Professional		$45.75	$60.00	$1,576.96
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 $448.00 / $448.00 / $574.00	Professional		$448.00	$448.00	$574.00