Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $6,408.00 / $7,836.00	Facility		$1,175.00	$6,408.00	$7,836.00
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 / $1,450.00 / $1,450.00	Facility		$150.00	$1,450.00	$1,450.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $421.00 / $903.00 / $11,012.52	Facility		$421.00	$903.00	$11,012.52
United Facility/Professional Facility Modifier Low / Median / High Price $417.00 / $796.00 / $11,930.23	Facility		$417.00	$796.00	$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