Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $912.01	Professional		$371.54	$588.84	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,071.52	Professional		$870.96	$870.96	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $1,445.44 / $3,715.35	Facility		$134.90	$1,445.44	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $660.69	Professional		$32.36	$48.98	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $281.84 / $812.83	Professional		$48.98	$281.84	$812.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02