Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.04 / $262.72 / $630.53	Facility		$197.04	$262.72	$630.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.41 / $194.41 / $281.11	Professional		$194.41	$194.41	$281.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.77 / $170.77 / $230.54	Facility		$170.77	$170.77	$230.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.02 / $320.02 / $383.42	Professional		$320.02	$320.02	$383.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $194.41 / $247.74 / $433.49	Facility		$194.41	$247.74	$433.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $110.34 / $346.79	Professional		$110.34	$110.34	$346.79
United Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $110.34 / $168.14	Professional		$110.34	$110.34	$168.14