Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.15 / $149.15 / $149.15	Facility		$149.15	$149.15	$149.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $170.45 / $170.45	Professional		$149.15	$170.45	$170.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.68 / $225.68 / $225.68	Facility		$225.68	$225.68	$225.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.75 / $225.68 / $225.68	Professional		$164.75	$225.68	$225.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.85 / $208.77 / $1,614.69	Facility		$96.85	$208.77	$1,614.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $198.25 / $351.89	Professional		$100.02	$198.25	$351.89
United Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $160.03 / $225.98	Professional		$100.02	$160.03	$225.98