Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $324.00 / $324.00	Facility		$324.00	$324.00	$324.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $302.93 / $324.00	Professional		$275.39	$302.93	$324.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $270.00 / $337.50	Professional		$270.00	$270.00	$337.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.33 / $150.00 / $458.44	Professional		$147.33	$150.00	$458.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $324.00 / $465.43	Facility		$324.00	$324.00	$465.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $279.49 / $324.00	Professional		$247.34	$279.49	$324.00
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $279.49 / $324.00	Professional		$247.34	$279.49	$324.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $270.00 / $270.00	Facility		$270.00	$270.00	$270.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $270.00 / $270.00	Professional		$270.00	$270.00	$270.00