Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.78 / $171.78 / $171.78	Facility		$171.78	$171.78	$171.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.78 / $196.32 / $196.32	Professional		$171.78	$196.32	$196.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $277.45	Facility		$277.45	$277.45	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $277.45 / $277.45	Professional		$202.54	$277.45	$277.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $196.32 / $277.33 / $1,976.32	Facility		$196.32	$277.33	$1,976.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $249.63 / $405.30	Professional		$125.94	$249.63	$405.30
United Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $190.83 / $284.56	Professional		$125.94	$190.83	$284.56