Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $337.44 / $452.70	Facility		$216.00	$337.44	$452.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $57.93 / $452.70	Professional		$43.50	$57.93	$452.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $375.00 / $453.50	Professional		$205.00	$375.00	$453.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $300.00 / $488.17	Professional		$255.00	$300.00	$488.17
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 / $1,351.68	Professional		$45.75	$60.00	$1,351.68
United Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $58.71 / $82.40	Professional		$45.75	$58.71	$82.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $492.00	Professional		$384.00	$384.00	$492.00