Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $27.54 / $34.67	Professional		$16.60	$27.54	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $48.98 / $112.20	Facility		$20.89	$48.98	$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