Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.75 / $3,195.12 / $11,528.60	Facility		$621.75	$3,195.12	$11,528.60
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 $111.26 / $168.96 / $1,661.00	Facility		$111.26	$168.96	$1,661.00
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $550.00 / $1,769.00	Facility		$191.00	$550.00	$1,769.00