Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.00 / $2,882.00 / $10,439.00	Facility		$656.00	$2,882.00	$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 $636.63 / $1,127.71 / $2,415.80	Facility		$636.63	$1,127.71	$2,415.80
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $611.00 / $1,915.00	Facility		$191.00	$611.00	$1,915.00