Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $562.40 / $754.50	Facility		$360.00	$562.40	$754.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $57.93 / $754.50	Professional		$43.50	$57.93	$754.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $675.00 / $816.30	Professional		$369.00	$675.00	$816.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $500.00 / $813.62	Professional		$425.00	$500.00	$813.62
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 / $2,252.80	Professional		$45.75	$60.00	$2,252.80
United Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $54.00 / $82.40	Professional		$45.75	$54.00	$82.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $820.00	Professional		$640.00	$640.00	$820.00