Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.00 / $6,871.00 / $11,855.00	Facility		$1,175.00	$6,871.00	$11,855.00
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 / $2,200.00 / $2,200.00	Facility		$150.00	$2,200.00	$2,200.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $917.71 / $1,600.00 / $15,417.64	Facility		$917.71	$1,600.00	$15,417.64
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $1,818.00 / $14,683.36	Facility		$888.00	$1,818.00	$14,683.36
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