Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $899.84 / $1,207.20	Facility		$576.00	$899.84	$1,207.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $57.93 / $1,207.20	Professional		$43.50	$57.93	$1,207.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $615.00 / $1,125.00 / $1,360.50	Professional		$615.00	$1,125.00	$1,360.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $800.00 / $1,301.79	Professional		$680.00	$800.00	$1,301.79
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 / $3,604.48	Professional		$45.75	$60.00	$3,604.48
United Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $56.00 / $82.40	Professional		$45.30	$56.00	$82.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,024.00 / $1,024.00 / $1,312.00	Professional		$1,024.00	$1,024.00	$1,312.00