Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.78 / $91.78 / $135.28	Facility		$91.78	$91.78	$135.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.38 / $91.78 / $103.47	Professional		$88.38	$91.78	$103.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $107.78 / $107.78	Facility		$107.78	$107.78	$107.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.68 / $107.78 / $107.78	Professional		$78.68	$107.78	$107.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $116.58 / $899.12	Facility		$55.55	$116.58	$899.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $92.52 / $191.98	Professional		$57.37	$92.52	$191.98
United Facility/Professional Facility Modifier Low / Median / High Price $66.30 / $86.05 / $103.70	Facility		$66.30	$86.05	$103.70
United Facility/Professional Professional Modifier Low / Median / High Price $57.37 / $86.05 / $123.45	Professional		$57.37	$86.05	$123.45