Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Facility		$125.50	$125.50	$125.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Professional		$125.50	$125.50	$125.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $124.99 / $154.69	Professional		$123.75	$124.99	$154.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.70 / $125.50 / $376.50	Facility		$124.70	$125.50	$376.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $162.41 / $162.41	Professional		$147.65	$162.41	$162.41
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $162.41 / $166.84	Professional		$147.65	$162.41	$166.84