Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $4,466.84	Facility		$1,174.90	$1,202.26	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,479.11	Professional		$1,174.90	$1,230.27	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,659.59	Professional		$1,348.96	$1,348.96	$1,659.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $6,606.93 / $6,606.93	Facility		$1.00	$6,606.93	$6,606.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $1,513.56 / $3,162.28	Professional		$63.10	$1,513.56	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $512.86 / $1,288.25	Facility		$1.26	$512.86	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,479.11	Professional		$1,288.25	$1,288.25	$1,479.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,318.26	Professional		$1,047.13	$1,318.26	$1,318.26