Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.00 / $3,683.00 / $7,500.00	Facility		$882.00	$3,683.00	$7,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Facility		$900.00	$900.00	$900.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.93 / $1,054.90 / $4,083.73	Facility		$675.93	$1,054.90	$4,083.73
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,990.00 / $4,012.00	Facility		$575.00	$1,990.00	$4,012.00