Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.76 / $226.76 / $226.76	Facility		$226.76	$226.76	$226.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.33 / $131.35 / $226.76	Professional		$92.33	$131.35	$226.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $183.96 / $183.96	Facility		$57.00	$183.96	$183.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.90 / $173.77 / $286.85	Facility		$114.90	$173.77	$286.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $1,301.95	Professional		$215.05	$215.05	$1,301.95
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $215.05	Professional		$215.05	$215.05	$215.05