Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.39 / $99.39 / $197.79	Facility		$99.39	$99.39	$197.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $99.39 / $99.39	Professional		$99.39	$99.39	$99.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $108.39 / $108.39	Professional		$9.25	$108.39	$108.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $108.39 / $203.57	Facility		$2.50	$108.39	$203.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Professional		$122.70	$122.70	$122.70
United Facility/Professional Professional Modifier Low / Median / High Price $122.70 / $122.70 / $122.70	Professional		$122.70	$122.70	$122.70