Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $136.34 / $231.78	Facility		$126.24	$136.34	$231.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.65 / $137.65 / $137.65	Professional		$137.65	$137.65	$137.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $120.24 / $127.45	Facility		$120.24	$120.24	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $136.49 / $496.20	Facility		$126.24	$136.49	$496.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $126.24 / $131.46	Professional		$126.24	$126.24	$131.46
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $135.10	Professional		$127.45	$127.45	$135.10