Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $177.83	Professional		$141.25	$147.91	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $169.82	Facility		$151.36	$151.36	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $169.82 / $398.11	Facility		$141.25	$169.82	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $676.08	Professional		$162.18	$162.18	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $177.83	Facility		$75.86	$89.13	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $162.18	Professional		$125.89	$162.18	$162.18