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 $38.00 / $57.93 / $449.04	Professional		$38.00	$57.93	$449.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.00 / $375.00 / $453.50	Professional		$205.00	$375.00	$453.50
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $411.42 / $411.42 / $514.28	Professional	AA	$411.42	$411.42	$514.28
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 $2,590.00 / $3,359.94 / $4,055.10	Facility		$2,590.00	$3,359.94	$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 $45.00 / $57.00 / $82.40	Professional		$45.00	$57.00	$82.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $492.00	Professional		$384.00	$384.00	$492.00
Wellmark Facility/Professional Professional Modifier QX Low / Median / High Price $194.34 / $246.00 / $246.00	Professional	QX	$194.34	$246.00	$246.00