Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.50 / $399.50 / $424.47	Professional		$399.50	$399.50	$424.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $424.47 / $424.47	Professional		$424.47	$424.47	$424.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $275.00	Professional		$150.00	$150.00	$275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $399.50 / $499.38 / $679.15	Facility		$399.50	$499.38	$679.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $1,897.64	Professional		$499.42	$499.42	$1,897.64
United Facility/Professional Professional Modifier Low / Median / High Price $499.42 / $499.42 / $549.36	Professional		$499.42	$499.42	$549.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $449.44 / $449.44 / $449.44	Facility		$449.44	$449.44	$449.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.06 / $449.44 / $449.44	Professional		$355.06	$449.44	$449.44