Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $489.78	Facility		$281.84	$398.11	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $977.24	Professional		$269.15	$380.19	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $363.08	Professional		$288.40	$288.40	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $331.13 / $354.81	Professional		$151.36	$331.13	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $371.54 / $524.81	Facility		$245.47	$371.54	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $346.74 / $371.54	Professional		$309.03	$346.74	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $398.11	Professional		$331.13	$371.54	$398.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13