Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $309.64 / $539.10	Facility		$109.16	$309.64	$539.10
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $233.60 / $233.60 / $233.60	Facility	25	$233.60	$233.60	$233.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.16 / $147.16 / $462.80	Professional		$109.16	$147.16	$462.80
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $116.44 / $332.78 / $449.45	Professional	25	$116.44	$332.78	$449.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $331.62 / $518.85	Professional		$143.72	$331.62	$518.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.89 / $172.36 / $310.25	Facility		$110.89	$172.36	$310.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $171.80 / $314.12 / $901.73	Professional		$171.80	$314.12	$901.73
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $271.60 / $391.46 / $464.49	Professional	25	$271.60	$391.46	$464.49
United Facility/Professional Professional Modifier Low / Median / High Price $148.33 / $260.83 / $362.39	Professional		$148.33	$260.83	$362.39