Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $853.22 / $1,685.00 / $6,239.00	Facility		$853.22	$1,685.00	$6,239.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $442.00 / $2,059.00	Facility		$350.00	$442.00	$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 $903.00 / $1,616.00 / $15,601.07	Facility		$903.00	$1,616.00	$15,601.07
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $1,818.00 / $15,417.64	Facility		$796.00	$1,818.00	$15,417.64
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