Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $367.50 / $420.00	Facility		$40.00	$367.50	$420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $364.00	Professional		$40.00	$40.00	$364.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $348.00 / $444.00	Professional		$240.00	$348.00	$444.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $40.00 / $42.00	Facility		$40.00	$40.00	$42.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $52.00 / $1,576.96	Professional		$47.00	$52.00	$1,576.96
United Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $50.00 / $63.00	Professional		$47.00	$50.00	$63.00