Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $831.76	Facility		$204.17	$275.42	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $346.74	Professional		$181.97	$218.78	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $741.31	Facility		$177.83	$177.83	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $398.11	Professional		$112.20	$204.17	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $275.42 / $478.63	Facility		$204.17	$275.42	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $1,023.29	Professional		$114.82	$114.82	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $331.13	Facility		$114.82	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $181.97	Professional		$114.82	$114.82	$181.97