Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.55 / $175.40 / $420.96	Facility		$131.55	$175.40	$420.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $129.80 / $187.68	Professional		$129.80	$129.80	$187.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.01 / $114.01 / $468.58	Facility		$114.01	$114.01	$468.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.28 / $93.63 / $255.96	Professional		$73.28	$93.63	$255.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.80 / $175.40 / $294.67	Facility		$129.80	$175.40	$294.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $263.10	Professional		$73.67	$73.67	$263.10
United Facility/Professional Facility Modifier Low / Median / High Price $63.14 / $157.86 / $175.40	Facility		$63.14	$157.86	$175.40
United Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $73.67 / $112.26	Professional		$73.67	$73.67	$112.26