Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $39.81 / $50.12	Professional		$23.99	$39.81	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $44.67 / $112.20	Facility		$19.05	$44.67	$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