Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $51.29	Professional		$24.55	$40.74	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $47.86 / $112.20	Facility		$20.42	$47.86	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $31.62	Professional		$12.59	$12.59	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $31.62	Professional		$10.23	$12.88	$31.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12