Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $87.10 / $263.03	Facility		$15.85	$87.10	$263.03
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $134.90 / $239.88 / $331.13	Facility	25	$134.90	$239.88	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $19.95 / $48.98	Professional		$7.08	$19.95	$48.98
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $21.88 / $33.88 / $61.66	Professional	25	$21.88	$33.88	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $22.39 / $56.23	Professional		$10.47	$22.39	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $19.95 / $40.74	Facility		$8.32	$19.95	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $87.10	Professional		$19.95	$38.90	$87.10
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $38.02 / $46.77 / $61.66	Professional	25	$38.02	$46.77	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $19.95 / $45.71	Professional		$8.71	$19.95	$45.71