Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $186.21	Professional		$131.83	$144.54	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $1,445.44	Facility		$169.82	$169.82	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $194.98	Professional		$91.20	$158.49	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $151.36 / $229.09	Facility		$120.23	$151.36	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $977.24	Professional		$107.15	$141.25	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $645.65 / $1,047.13	Facility		$177.83	$645.65	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $194.98	Professional		$102.33	$131.83	$194.98