Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $398.11	Facility		$100.00	$134.90	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $169.82	Professional		$93.33	$104.71	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $354.81	Facility		$87.10	$87.10	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $194.98	Professional		$162.18	$162.18	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $234.42	Facility		$100.00	$134.90	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $501.19	Professional		$56.23	$56.23	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $134.90 / $162.18	Facility		$56.23	$134.90	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $89.13	Professional		$56.23	$56.23	$89.13