Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $588.84	Professional		$407.38	$407.38	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $851.14	Professional		$104.71	$104.71	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,000.00	Professional		$812.83	$954.99	$1,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $467.74 / $1,174.90	Facility		$407.38	$467.74	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14