Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $125.89	Facility		$41.69	$52.48	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $37.15	Facility		$27.54	$27.54	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $48.98 / $60.26	Professional		$42.66	$48.98	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $199.53	Facility		$42.66	$42.66	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $44.67	Professional		$17.78	$17.78	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $42.66 / $51.29	Facility		$15.14	$42.66	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $25.12	Professional		$17.78	$17.78	$25.12