Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.00 / $3,498.00 / $10,439.00	Facility		$487.00	$3,498.00	$10,439.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Facility		$624.00	$624.00	$624.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.49 / $145.83 / $2,819.00	Facility		$86.49	$145.83	$2,819.00
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00