Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,349.00 / $6,871.00 / $11,112.00	Facility		$1,349.00	$6,871.00	$11,112.00
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 / $1,900.00 / $1,900.00	Facility		$150.00	$1,900.00	$1,900.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $952.00 / $1,616.00 / $15,417.64	Facility		$952.00	$1,616.00	$15,417.64
United Facility/Professional Facility Modifier Low / Median / High Price $903.00 / $1,947.00 / $16,518.78	Facility		$903.00	$1,947.00	$16,518.78
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