Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.47 / $258.83 / $388.26	Facility		$138.47	$258.83	$388.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $104.83 / $125.80	Professional		$104.83	$104.83	$125.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.84 / $111.84 / $111.84	Facility		$111.84	$111.84	$111.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.31 / $149.91 / $195.36	Facility		$115.31	$149.91	$195.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Professional		$129.41	$129.41	$129.41
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Professional		$129.41	$129.41	$129.41