Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.65 / $121.65 / $242.08	Facility		$121.65	$121.65	$242.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.65 / $121.65 / $121.65	Professional		$121.65	$121.65	$121.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $64.43	Professional		$63.43	$63.43	$64.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $129.66 / $663.30	Facility		$109.49	$129.66	$663.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Professional		$125.15	$125.15	$125.15
United Facility/Professional Professional Modifier Low / Median / High Price $125.15 / $125.15 / $125.15	Professional		$125.15	$125.15	$125.15