Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.00 / $3,131.00 / $10,439.00	Facility		$948.00	$3,131.00	$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 $168.20 / $261.43 / $3,647.00	Facility		$168.20	$261.43	$3,647.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,779.00 / $3,946.00 / $6,988.00	Facility		$1,779.00	$3,946.00	$6,988.00