Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $199.53 / $602.56	Facility		$112.20	$199.53	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $169.82	Professional		$112.20	$131.83	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $398.11	Facility		$97.72	$97.72	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $288.40	Professional		$239.88	$239.88	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $199.53 / $346.74	Facility		$109.65	$199.53	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $562.34	Professional		$63.10	$69.18	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $199.53 / $199.53	Facility		$83.18	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $100.00	Professional		$63.10	$69.18	$100.00