Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,600.00 / $12,154.00	Facility		$1,500.00	$3,600.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $84.49 / $114.76	Professional		$76.45	$84.49	$114.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Facility		$624.00	$624.00	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.39 / $122.39 / $122.39	Professional		$122.39	$122.39	$122.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $93.78 / $809.00	Facility		$64.81	$93.78	$809.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $120.12 / $666.32	Professional		$95.34	$120.12	$666.32
United Facility/Professional Facility Modifier Low / Median / High Price $166.00 / $658.00 / $1,915.00	Facility		$166.00	$658.00	$1,915.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $112.45 / $160.61	Professional		$95.34	$112.45	$160.61