Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.40 / $337.20 / $505.80	Facility		$180.40	$337.20	$505.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $136.57 / $163.88	Professional		$136.57	$136.57	$163.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Facility		$143.31	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.22 / $168.60 / $195.30	Facility		$150.22	$168.60	$195.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $140.50	Professional		$140.50	$140.50	$140.50
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $140.50	Professional		$140.50	$140.50	$140.50