Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.55 / $151.69 / $537.79	Facility		$51.55	$151.69	$537.79
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $170.51 / $202.34 / $632.70	Facility	25	$170.51	$202.34	$632.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $74.66 / $245.70	Professional		$51.26	$74.66	$245.70
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $53.71 / $97.65 / $234.07	Professional	25	$53.71	$97.65	$234.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $156.02 / $263.31	Professional		$67.15	$156.02	$263.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.23 / $80.73 / $157.30	Facility		$50.23	$80.73	$157.30
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $186.38 / $186.38 / $186.38	Facility	62	$186.38	$186.38	$186.38
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $29.82 / $29.82 / $29.82	Facility	AS	$29.82	$29.82	$29.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.41 / $180.14 / $246.89	Professional		$95.41	$180.14	$246.89
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $115.51 / $177.59 / $234.31	Professional	25	$115.51	$177.59	$234.31
United Facility/Professional Professional Modifier Low / Median / High Price $76.15 / $138.30 / $185.90	Professional		$76.15	$138.30	$185.90