Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $620.76 / $1,117.36	Facility		$517.29	$620.76	$1,117.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.29 / $517.29 / $517.29	Professional		$517.29	$517.29	$517.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.29 / $266.57 / $451.85	Facility		$79.29	$266.57	$451.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $517.29 / $517.29 / $620.76	Facility		$517.29	$517.29	$620.76