Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.00 / $604.00 / $6,408.00	Facility		$604.00	$604.00	$6,408.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $1,450.00 / $2,059.00	Facility		$1,450.00	$1,450.00	$2,059.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $917.71 / $1,617.00 / $15,601.07	Facility		$917.71	$1,617.00	$15,601.07
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $1,835.42 / $15,601.07	Facility		$796.00	$1,835.42	$15,601.07
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