Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Facility		$112.05	$112.05	$112.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $112.05 / $149.76	Professional		$106.97	$112.05	$149.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.91 / $100.91 / $106.97	Facility		$100.91	$100.91	$106.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $106.97	Professional		$106.97	$106.97	$106.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.69 / $106.97 / $112.05	Facility		$66.69	$106.97	$112.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $252.11	Professional		$64.75	$64.75	$252.11
United Facility/Professional Professional Modifier Low / Median / High Price $106.97 / $106.97 / $120.42	Professional		$106.97	$106.97	$120.42