Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $794.33	Professional		$302.00	$346.74	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $229.09	Professional		$109.65	$181.97	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $645.65 / $1,258.93	Facility		$426.58	$645.65	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70