Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $495.00 / $495.00	Facility		$35.00	$495.00	$495.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $540.00	Professional		$35.00	$50.00	$540.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $594.72 / $666.00	Professional		$408.00	$594.72	$666.00
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 / $65.00 / $90.00	Professional		$50.00	$65.00	$90.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $456.30 / $576.00 / $598.50	Professional		$456.30	$576.00	$598.50