Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $218.78	Professional		$181.97	$181.97	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $181.97 / $181.97	Facility		$169.82	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $251.19 / $501.19	Facility		$181.97	$251.19	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $812.83	Professional		$181.97	$181.97	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $478.63 / $562.34	Facility		$181.97	$478.63	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $501.19	Professional		$125.89	$181.97	$501.19