Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.45 / $123.45 / $181.96	Facility		$123.45	$123.45	$181.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $123.45 / $139.16	Professional		$118.88	$123.45	$139.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.00 / $168.00 / $168.00	Facility		$168.00	$168.00	$168.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.64 / $122.64 / $301.13	Professional		$122.64	$122.64	$301.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.72 / $156.81 / $1,209.31	Facility		$74.72	$156.81	$1,209.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $124.45 / $258.23	Professional		$77.16	$124.45	$258.23
United Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $115.74 / $166.04	Professional		$77.16	$115.74	$166.04