Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.97 / $217.46 / $217.46	Facility		$173.97	$217.46	$217.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $217.46 / $217.46	Professional		$103.97	$217.46	$217.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.28 / $105.78 / $198.68	Facility		$93.28	$105.78	$198.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $217.46 / $217.46	Facility		$94.52	$217.46	$217.46