Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $991.00 / $5,467.00 / $12,237.00	Facility		$991.00	$5,467.00	$12,237.00
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 $264.35 / $418.23 / $1,661.00	Facility		$264.35	$418.23	$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