Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $480.00	Facility		$480.00	$480.00	$480.00
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 $736.00 / $2,753.13 / $16,518.95	Facility		$736.00	$2,753.13	$16,518.95
United Facility/Professional Facility Modifier Low / Median / High Price $603.00 / $2,753.13 / $17,436.49	Facility		$603.00	$2,753.13	$17,436.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $809.00 / $18,170.00 / $40,290.00	Facility		$809.00	$18,170.00	$40,290.00