Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,288.25	Facility		$977.24	$977.24	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $2,570.40	Professional		$812.83	$977.24	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,230.27 / $1,548.82	Professional		$741.31	$1,230.27	$1,548.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $2,818.38	Facility		$1,071.52	$1,258.93	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56