Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $57.54 / $72.44	Professional		$34.67	$57.54	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $81.28 / $112.20	Facility		$34.67	$81.28	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $28.84	Professional		$12.30	$12.30	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $28.84	Professional		$10.23	$12.59	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20