Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $440.00 / $440.00	Facility		$35.00	$440.00	$440.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $480.00	Professional		$35.00	$50.00	$480.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.00 / $520.38 / $582.75	Professional		$357.00	$520.38	$582.75
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 $45.00 / $60.00 / $90.00	Professional		$45.00	$60.00	$90.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $405.60 / $512.00 / $532.00	Professional		$405.60	$512.00	$532.00