Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $880.00 / $880.00	Facility		$35.00	$880.00	$880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $960.00	Professional		$35.00	$50.00	$960.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $1,115.09 / $1,248.75	Professional		$765.00	$1,115.09	$1,248.75
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 $50.00 / $60.27 / $90.00	Professional		$50.00	$60.27	$90.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $811.20 / $1,024.00 / $1,064.00	Professional		$811.20	$1,024.00	$1,064.00