Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $138.04 / $407.38	Facility		$102.33	$138.04	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $173.78	Professional		$91.20	$109.65	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $363.08	Facility		$89.13	$89.13	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $100.00 / $199.53	Professional		$54.95	$100.00	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $138.04 / $239.88	Facility		$102.33	$138.04	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $204.17	Professional		$57.54	$57.54	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $138.04 / $165.96	Facility		$57.54	$138.04	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $91.20	Professional		$57.54	$57.54	$91.20