Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.63 / $131.63 / $261.94	Facility		$131.63	$131.63	$261.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $131.63 / $131.63	Professional		$131.63	$131.63	$131.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.63 / $138.21 / $582.30	Facility		$131.63	$138.21	$582.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $332.96	Professional		$332.96	$332.96	$332.96
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $332.96	Professional		$332.96	$332.96	$332.96