Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.21 / $188.21 / $188.21	Facility		$188.21	$188.21	$188.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $109.11 / $188.21	Professional		$95.07	$109.11	$188.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.07 / $188.21 / $325.04	Facility		$95.07	$188.21	$325.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $923.86	Professional		$342.87	$342.87	$923.86
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $356.72	Professional		$342.87	$342.87	$356.72