Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $3,715.35	Professional		$2,344.23	$3,311.31	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,073.80 / $5,011.87	Professional		$3,981.07	$4,073.80	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $5,623.41 / $8,912.51	Facility		$346.74	$5,623.41	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,884.03	Professional		$977.24	$1,479.11	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,348.96 / $2,884.03	Professional		$831.76	$1,348.96	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16