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 $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $67.61	Professional		$32.36	$53.70	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $58.88 / $169.82	Facility		$25.12	$58.88	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $34.67	Professional		$12.59	$12.59	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $34.67	Professional		$10.23	$12.88	$34.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12