Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $1,430.00 / $1,430.00	Facility		$35.00	$1,430.00	$1,430.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $1,560.00	Professional		$35.00	$50.00	$1,560.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,858.50 / $2,081.25	Professional		$1,275.00	$1,858.50	$2,081.25
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 $50.00 / $60.00 / $90.00	Professional		$50.00	$60.00	$90.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,318.20 / $1,664.00 / $1,729.00	Professional		$1,318.20	$1,664.00	$1,729.00