Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.04 / $249.46 / $385.46	Facility		$147.04	$249.46	$385.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $90.54 / $117.10	Professional		$90.54	$90.54	$117.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.35 / $189.39 / $672.62	Facility		$84.35	$189.39	$672.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $127.26 / $167.16	Professional		$63.47	$127.26	$167.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.28 / $108.88 / $210.05	Facility		$80.28	$108.88	$210.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $89.86 / $246.27	Professional		$50.70	$89.86	$246.27
United Facility/Professional Professional Modifier Low / Median / High Price $50.70 / $72.43 / $251.19	Professional		$50.70	$72.43	$251.19