Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $153.75 / $153.75	Facility		$153.75	$153.75	$153.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $153.75	Professional		$123.00	$123.00	$153.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.25 / $123.00 / $164.82	Facility		$71.25	$123.00	$164.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $270.75	Professional		$128.13	$128.13	$270.75
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $150.68	Professional		$128.13	$128.13	$150.68