Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $141.25 / $426.58	Facility		$107.15	$141.25	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $162.18	Professional		$95.50	$112.20	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $380.19	Facility		$93.33	$93.33	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Professional		$173.78	$173.78	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $245.47	Facility		$104.71	$141.25	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $537.03	Professional		$60.26	$60.26	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $169.82	Facility		$60.26	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $93.33	Professional		$60.26	$60.26	$93.33