Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $199.53 / $602.56	Facility		$151.36	$199.53	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $218.78	Professional		$128.82	$154.88	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $537.03	Facility		$128.82	$128.82	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $288.40	Professional		$245.47	$245.47	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $199.53 / $346.74	Facility		$147.91	$199.53	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $758.58	Professional		$83.18	$83.18	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $199.53 / $239.88	Facility		$83.18	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $131.83	Professional		$83.18	$83.18	$131.83