Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $38.90	Professional		$18.62	$30.90	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $42.66 / $112.20	Facility		$18.20	$42.66	$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 / $31.62	Professional		$10.23	$12.59	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12