Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.00 / $3,506.00 / $10,439.00	Facility		$957.00	$3,506.00	$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 $368.33 / $3,072.43 / $6,124.61	Facility		$368.33	$3,072.43	$6,124.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,967.00 / $4,960.00 / $11,702.05	Facility		$1,967.00	$4,960.00	$11,702.05