Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $173.78 / $208.93	Professional		$165.96	$173.78	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $177.83 / $177.83	Facility		$169.82	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $467.74	Facility		$165.96	$208.93	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $794.33	Professional		$204.17	$204.17	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $204.17 / $204.17	Facility		$173.78	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $204.17	Professional		$125.89	$204.17	$204.17