Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.52 / $197.52 / $324.00	Facility		$197.52	$197.52	$324.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $100.09 / $197.52	Professional		$80.43	$100.09	$197.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Facility		$143.26	$143.26	$143.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.12 / $227.15 / $2,170.19	Facility		$101.12	$227.15	$2,170.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $3,742.91	Professional		$2,170.19	$2,170.19	$3,742.91
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,442.98	Professional		$2,170.19	$2,170.19	$2,442.98