Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $275.00 / $275.00	Facility		$35.00	$275.00	$275.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $300.00	Professional		$35.00	$50.00	$300.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $297.36 / $333.00	Professional		$204.00	$297.36	$333.00
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 / $66.00 / $90.00	Professional		$50.00	$66.00	$90.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $253.50 / $320.00 / $332.50	Professional		$253.50	$320.00	$332.50