Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.00 / $3,885.00 / $4,823.00	Facility		$558.00	$3,885.00	$4,823.00
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 / $1,600.00 / $15,417.64	Facility		$917.71	$1,600.00	$15,417.64
United Facility/Professional Facility Modifier Low / Median / High Price $903.00 / $1,682.00 / $14,316.38	Facility		$903.00	$1,682.00	$14,316.38
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