Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.50 / $225.50 / $225.50	Facility		$225.50	$225.50	$225.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.50 / $257.72 / $260.52	Professional		$225.50	$257.72	$260.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.61 / $420.61 / $420.61	Facility		$420.61	$420.61	$420.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.52 / $420.61 / $420.61	Professional		$357.52	$420.61	$420.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $152.43 / $315.67 / $2,275.37	Facility		$152.43	$315.67	$2,275.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $312.02 / $532.04	Professional		$157.41	$312.02	$532.04
United Facility/Professional Professional Modifier Low / Median / High Price $157.41 / $250.51 / $355.68	Professional		$157.41	$250.51	$355.68