Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $776.25	Facility		$457.09	$457.09	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $562.34	Professional		$446.68	$457.09	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $478.63 / $478.63	Professional		$158.49	$478.63	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $457.09 / $645.65	Facility		$4.27	$457.09	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $467.74	Professional		$416.87	$467.74	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74