Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $257.04 / $758.58	Facility		$190.55	$257.04	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $323.59	Professional		$169.82	$199.53	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $676.08	Facility		$165.96	$165.96	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $309.03 / $501.19	Professional		$114.82	$309.03	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $275.42 / $446.68	Facility		$190.55	$275.42	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $380.19	Professional		$89.13	$107.15	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $257.04 / $309.03	Facility		$107.15	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $169.82	Professional		$79.43	$107.15	$169.82