Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.21 / $124.50 / $316.88	Facility		$43.21	$124.50	$316.88
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $124.50 / $124.50 / $316.88	Facility	25	$124.50	$124.50	$316.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.11 / $45.27 / $134.38	Professional		$26.11	$45.27	$134.38
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $33.99 / $70.20 / $134.38	Professional	25	$33.99	$70.20	$134.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $89.40 / $164.20	Professional		$39.22	$89.40	$164.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $47.03 / $97.58	Facility		$25.42	$47.03	$97.58
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $99.33 / $99.33 / $99.33	Facility	62	$99.33	$99.33	$99.33
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $15.89 / $15.89 / $15.89	Facility	AS	$15.89	$15.89	$15.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $93.95 / $223.86	Professional		$47.96	$93.95	$223.86
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $71.48 / $115.61 / $146.29	Professional	25	$71.48	$115.61	$146.29
United Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $78.28 / $112.72	Professional		$46.19	$78.28	$112.72