Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $4,365.16 / $6,918.31	Facility		$288.40	$4,365.16	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $288.40 / $512.86	Professional		$251.19	$288.40	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $758.58	Professional		$616.60	$616.60	$758.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $389.05 / $707.95	Facility		$338.84	$389.05	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $501.19 / $1,659.59	Professional		$239.88	$501.19	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $707.95	Professional		$302.00	$501.19	$707.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,238.72	Professional		$1,819.70	$2,137.96	$2,238.72