Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.30 / $32.36	Professional		$15.85	$26.30	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $29.51 / $112.20	Facility		$12.59	$29.51	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $28.84	Professional		$12.59	$12.59	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $31.62	Professional		$10.23	$12.88	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12