Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $118.75 / $294.00	Facility		$43.56	$118.75	$294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.42 / $129.44 / $138.02	Professional		$81.42	$129.44	$138.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $124.50 / $155.63	Professional		$87.12	$124.50	$155.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.08 / $147.62 / $212.16	Facility		$106.08	$147.62	$212.16
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $46.00 / $46.00	Facility		$46.00	$46.00	$46.00