Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.00 / $270.00 / $270.00	Facility		$270.00	$270.00	$270.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $133.71 / $270.00	Professional		$123.80	$133.71	$270.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.79 / $123.80 / $123.80	Facility		$116.79	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.59 / $192.37 / $270.00	Facility		$128.59	$192.37	$270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $126.06 / $3,125.88	Professional		$126.06	$126.06	$3,125.88
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $179.51	Professional		$123.80	$123.80	$179.51