Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.88 / $145.88 / $214.99	Facility		$145.88	$145.88	$214.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.96 / $140.47 / $145.88	Professional		$138.96	$140.47	$145.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $166.23 / $166.23	Professional		$121.35	$166.23	$166.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.52 / $191.25 / $1,236.41	Facility		$74.52	$191.25	$1,236.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $143.44 / $301.27	Professional		$76.95	$143.44	$301.27
United Facility/Professional Professional Modifier Low / Median / High Price $76.95 / $115.43 / $165.60	Professional		$76.95	$115.43	$165.60