Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $40.74	Professional		$19.50	$32.36	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $42.66 / $112.20	Facility		$17.78	$42.66	$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 / $28.84	Professional		$10.23	$12.88	$28.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12