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 / $13,587.00	Facility		$1,349.00	$8,637.00	$13,587.00
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 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
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 $848.00 / $1,818.00 / $13,765.65	Facility		$848.00	$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