Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,349.00 / $8,637.00 / $12,171.00	Facility		$1,349.00	$8,637.00	$12,171.00
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 / $3,200.00 / $3,200.00	Facility		$150.00	$3,200.00	$3,200.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $952.00 / $1,617.00 / $15,601.07	Facility		$952.00	$1,617.00	$15,601.07
United Facility/Professional Facility Modifier Low / Median / High Price $888.00 / $1,818.00 / $13,765.65	Facility		$888.00	$1,818.00	$13,765.65
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