Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,349.00 / $7,098.00 / $8,296.00	Facility		$1,349.00	$7,098.00	$8,296.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $2,059.00 / $3,012.00	Facility		$1,450.00	$2,059.00	$3,012.00
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $1,600.00 / $1,600.00	Facility		$150.00	$1,600.00	$1,600.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $952.00 / $1,616.00 / $16,518.78	Facility		$952.00	$1,616.00	$16,518.78
United Facility/Professional Facility Modifier Low / Median / High Price $796.00 / $1,682.00 / $12,847.94	Facility		$796.00	$1,682.00	$12,847.94
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