Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $549.54	Facility		$138.04	$186.21	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $234.42	Professional		$123.03	$147.91	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $489.78	Facility		$120.23	$120.23	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $269.15	Professional		$74.13	$134.90	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $323.59	Facility		$138.04	$186.21	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $691.83	Professional		$77.62	$77.62	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $186.21 / $223.87	Facility		$77.62	$186.21	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $123.03	Professional		$77.62	$77.62	$123.03