Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,318.26 / $1,445.44	Facility		$34.67	$1,318.26	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $2,089.30	Professional		$34.67	$50.12	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,137.96	Professional		$1,479.11	$1,905.46	$2,137.96
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 / $5,888.44	Professional		$50.12	$64.57	$5,888.44
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 $1,318.26 / $1,659.59 / $2,137.96	Professional		$1,318.26	$1,659.59	$2,137.96