Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,349.00 / $6,871.00 / $7,836.00	Facility		$1,349.00	$6,871.00	$7,836.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $407.86 / $2,059.00	Facility		$350.00	$407.86	$2,059.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $2,125.00	Facility		$150.00	$150.00	$2,125.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $1,101.00 / $11,589.61	Facility		$425.00	$1,101.00	$11,589.61
United Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $917.71 / $11,930.23	Facility		$420.00	$917.71	$11,930.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $541.00 / $1,327.00 / $18,170.00	Facility		$541.00	$1,327.00	$18,170.00