Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $204.17 / $218.78	Facility		$34.67	$204.17	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $323.59	Professional		$34.67	$50.12	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $257.04	Professional		$177.83	$229.09	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $3,715.35	Facility		$85.11	$85.11	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $891.25	Professional		$50.12	$64.57	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $89.13	Professional		$44.67	$60.26	$89.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $257.04 / $331.13	Professional		$204.17	$257.04	$331.13