Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.56 / $153.56 / $153.56	Facility		$153.56	$153.56	$153.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.56 / $175.50 / $177.14	Professional		$153.56	$175.50	$177.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.81 / $297.81 / $297.81	Facility		$297.81	$297.81	$297.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.40 / $297.81 / $297.81	Professional		$217.40	$297.81	$297.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.27 / $214.95 / $1,867.83	Facility		$115.27	$214.95	$1,867.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $235.94 / $362.31	Professional		$119.03	$235.94	$362.31
United Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $171.10 / $268.95	Professional		$119.03	$171.10	$268.95