Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.80 / $869.88 / $2,117.50	Facility		$790.80	$869.88	$2,117.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $695.90 / $695.90 / $869.88	Professional		$695.90	$695.90	$869.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Facility		$739.40	$739.40	$739.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $739.40 / $739.40 / $739.40	Professional		$739.40	$739.40	$739.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $632.64 / $790.80 / $1,012.22	Facility		$632.64	$790.80	$1,012.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $114.40 / $3,005.04	Professional		$57.20	$114.40	$3,005.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $85.80 / $143.00	Professional		$57.20	$85.80	$143.00