Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.62 / $194.62 / $194.62	Facility		$194.62	$194.62	$194.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $194.62 / $198.21	Professional		$194.62	$194.62	$198.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.81 / $203.81 / $203.81	Facility		$203.81	$203.81	$203.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $203.81 / $203.81	Professional		$157.83	$203.81	$203.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.06 / $188.48 / $288.08	Facility		$141.06	$188.48	$288.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $208.47 / $212.00	Professional		$167.84	$208.47	$212.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.87 / $214.72 / $218.36	Professional		$172.87	$214.72	$218.36