Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $77.62	Professional		$37.15	$61.66	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $56.23 / $112.20	Facility		$23.99	$56.23	$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