Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $477.46 / $5,642.50	Facility		$128.00	$477.46	$5,642.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.01 / $177.15 / $179.67	Professional		$155.01	$177.15	$179.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $274.27 / $274.27	Professional		$233.13	$274.27	$274.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.40 / $216.98 / $1,565.88	Facility		$99.40	$216.98	$1,565.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $203.47 / $365.72	Professional		$102.65	$203.47	$365.72
United Facility/Professional Professional Modifier Low / Median / High Price $102.65 / $164.24 / $231.93	Professional		$102.65	$164.24	$231.93