Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $1,584.89	Facility		$398.11	$524.81	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $407.38 / $602.56	Professional		$354.81	$407.38	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $1,412.54	Facility		$346.74	$346.74	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $776.25	Professional		$645.65	$645.65	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $524.81 / $912.01	Facility		$389.05	$524.81	$912.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $1,995.26	Professional		$223.87	$223.87	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $524.81 / $630.96	Facility		$223.87	$524.81	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $346.74	Professional		$223.87	$223.87	$346.74