Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $323.59 / $323.59	Facility		$275.42	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $338.84	Professional		$275.42	$275.42	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $338.84	Professional		$269.15	$269.15	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $398.11 / $457.09	Professional		$147.91	$398.11	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $1,202.26	Facility		$323.59	$323.59	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $323.59	Professional		$245.47	$281.84	$323.59
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 $251.19 / $295.12 / $338.84	Professional		$251.19	$295.12	$338.84
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15