Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.01 / $152.01 / $152.01	Facility		$152.01	$152.01	$152.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.01 / $152.01 / $154.82	Professional		$152.01	$152.01	$154.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.82 / $161.82 / $161.82	Facility		$161.82	$161.82	$161.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $161.82 / $161.82	Professional		$117.60	$161.82	$161.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.47 / $152.01 / $217.37	Facility		$102.47	$152.01	$217.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $170.49 / $173.38	Professional		$137.26	$170.49	$173.38
United Facility/Professional Professional Modifier Low / Median / High Price $137.26 / $170.49 / $173.38	Professional		$137.26	$170.49	$173.38