Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $53.42 / $53.42	Facility		$53.42	$53.42	$53.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $59.84 / $91.52	Professional		$53.42	$59.84	$91.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.62 / $65.62 / $65.62	Facility		$65.62	$65.62	$65.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.26 / $136.19 / $166.29	Professional		$134.26	$136.19	$166.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $81.11 / $160.26	Facility		$53.42	$81.11	$160.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.41 / $143.19 / $700.38	Professional		$74.41	$143.19	$700.38
United Facility/Professional Facility Modifier Low / Median / High Price $76.15 / $76.15 / $76.15	Facility		$76.15	$76.15	$76.15
United Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $138.37 / $191.94	Professional		$76.87	$138.37	$191.94