Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $477.00 / $2,865.00 / $3,597.00	Facility		$477.00	$2,865.00	$3,597.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.00 / $1,450.00 / $2,059.00	Facility		$1,409.00	$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 $999.00 / $2,001.38 / $24,024.10	Facility		$999.00	$2,001.38	$24,024.10
United Facility/Professional Facility Modifier Low / Median / High Price $917.71 / $1,947.00 / $22,015.18	Facility		$917.71	$1,947.00	$22,015.18
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