Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $220.00 / $220.00	Facility		$35.00	$220.00	$220.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $240.00	Professional		$35.00	$50.00	$240.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $223.02 / $249.75	Professional		$153.00	$223.02	$249.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.50 / $84.50 / $3,700.00	Facility		$84.50	$84.50	$3,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $110.00	Professional		$50.00	$65.00	$110.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $60.00 / $90.00	Professional		$47.60	$60.00	$90.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $202.80 / $256.00 / $266.00	Professional		$202.80	$256.00	$266.00