Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $245.47 / $741.31	Facility		$144.54	$245.47	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $165.96 / $194.98	Professional		$144.54	$165.96	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $512.86	Facility		$125.89	$125.89	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $281.84 / $354.81	Professional		$97.72	$281.84	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $165.96 / $645.65	Facility		$102.33	$165.96	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $204.17	Professional		$81.28	$87.10	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $245.47 / $245.47	Facility		$89.13	$245.47	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $87.10 / $123.03	Professional		$81.28	$87.10	$123.03