Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.22 / $103.22 / $179.56	Facility		$103.22	$103.22	$179.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $182.82	Professional		$163.24	$163.24	$182.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Facility		$179.39	$179.39	$179.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $204.94 / $233.43	Facility		$163.24	$204.94	$233.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $192.05 / $197.98	Professional		$186.43	$192.05	$197.98
United Facility/Professional Professional Modifier Low / Median / High Price $186.43 / $192.05 / $197.98	Professional		$186.43	$192.05	$197.98