Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $831.76	Facility		$204.17	$275.42	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $316.23	Professional		$181.97	$213.80	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $741.31	Facility		$177.83	$177.83	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $398.11	Professional		$331.13	$331.13	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $478.63	Facility		$204.17	$275.42	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $1,023.29	Professional		$114.82	$114.82	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $331.13	Facility		$114.82	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $181.97	Professional		$114.82	$114.82	$181.97