Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.01 / $162.01 / $238.78	Facility		$162.01	$162.01	$238.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.01 / $162.01 / $182.64	Professional		$156.01	$162.01	$182.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.96 / $227.96 / $227.96	Facility		$227.96	$227.96	$227.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.41 / $227.96 / $227.96	Professional		$166.41	$227.96	$227.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.06 / $208.66 / $1,593.03	Facility		$98.06	$208.66	$1,593.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $163.31 / $338.88	Professional		$101.26	$163.31	$338.88
United Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $151.90 / $217.91	Professional		$101.26	$151.90	$217.91