Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $223.87	Facility		$131.83	$131.83	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $131.83 / $162.18	Professional		$128.82	$131.83	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $138.04 / $588.84	Facility		$131.83	$138.04	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $331.13	Professional		$302.00	$331.13	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13