Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $524.81	Facility		$131.83	$173.78	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $134.90 / $199.53	Professional		$117.49	$134.90	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $467.74	Facility		$114.82	$114.82	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $257.04	Professional		$213.80	$213.80	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $302.00	Facility		$128.82	$173.78	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $660.69	Professional		$74.13	$74.13	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $173.78 / $208.93	Facility		$74.13	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $114.82	Professional		$74.13	$74.13	$114.82