Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.92 / $168.92 / $168.92	Facility		$168.92	$168.92	$168.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.92 / $168.92 / $173.09	Professional		$168.92	$168.92	$173.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Facility		$177.26	$177.26	$177.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.26 / $177.26 / $177.26	Professional		$177.26	$177.26	$177.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.92 / $177.26 / $211.15	Facility		$168.92	$177.26	$211.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $792.45 / $792.45 / $792.45	Professional		$792.45	$792.45	$792.45