Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.00 / $308.00 / $739.20	Facility		$231.00	$308.00	$739.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $227.92 / $267.95	Professional		$184.80	$227.92	$267.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $200.20 / $822.82	Facility		$200.20	$200.20	$822.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $164.36 / $449.51	Professional		$128.63	$164.36	$449.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.92 / $308.00 / $517.44	Facility		$227.92	$308.00	$517.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $129.36 / $462.00	Professional		$129.36	$129.36	$462.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.36 / $129.36 / $197.12	Professional		$129.36	$129.36	$197.12