Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.28 / $131.28 / $131.28	Facility		$131.28	$131.28	$131.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $131.28 / $134.52	Professional		$131.28	$131.28	$134.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Professional		$162.08	$162.08	$162.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.28 / $137.84 / $162.08	Facility		$131.28	$137.84	$162.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $162.08 / $178.73	Professional		$153.97	$162.08	$178.73
United Facility/Professional Professional Modifier Low / Median / High Price $155.76 / $162.08 / $178.73	Professional		$155.76	$162.08	$178.73