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 / $11,112.00	Facility		$1,349.00	$8,637.00	$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 / $1,950.00 / $1,950.00	Facility		$150.00	$1,950.00	$1,950.00
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 / $1,927.00 / $15,601.07	Facility		$888.00	$1,927.00	$15,601.07
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