Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $54.87 / $54.87	Facility		$54.87	$54.87	$54.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $54.07 / $54.87	Professional		$49.74	$54.07	$54.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $132.02 / $164.36	Facility		$104.09	$132.02	$164.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.74 / $91.30 / $111.93	Professional		$87.74	$91.30	$111.93
United Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $111.93	Professional		$91.30	$91.30	$111.93