Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $41.69 / $51.29	Professional		$24.55	$41.69	$51.29
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