Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $57.87 / $57.87	Facility		$57.87	$57.87	$57.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $82.00 / $87.84	Professional		$57.87	$82.00	$87.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $104.76 / $104.76	Facility		$104.76	$104.76	$104.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.99 / $216.99 / $438.09	Professional		$216.99	$216.99	$438.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.87 / $134.55 / $168.66	Facility		$57.87	$134.55	$168.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.66 / $163.61 / $522.04	Professional		$83.66	$163.61	$522.04
United Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $156.44 / $216.30	Professional		$88.06	$156.44	$216.30