Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.90 / $149.90 / $149.90	Facility		$149.90	$149.90	$149.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $171.31 / $178.31	Professional		$149.90	$171.31	$178.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.83 / $302.83 / $302.83	Facility		$302.83	$302.83	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.41 / $302.83 / $302.83	Professional		$257.41	$302.83	$302.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $209.83 / $1,623.77	Facility		$109.76	$209.83	$1,623.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $224.66 / $353.67	Professional		$113.34	$224.66	$353.67
United Facility/Professional Facility Modifier Low / Median / High Price $130.99 / $224.66 / $256.16	Facility		$130.99	$224.66	$256.16
United Facility/Professional Professional Modifier Low / Median / High Price $113.34 / $167.02 / $256.10	Professional		$113.34	$167.02	$256.10