Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $109.65	Professional		$91.20	$91.20	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $169.82	Facility		$87.10	$91.20	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $95.50 / $186.21	Facility		$69.18	$95.50	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $302.00	Professional		$67.61	$67.61	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $181.97 / $213.80	Facility		$69.18	$181.97	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $154.88	Professional		$69.18	$125.89	$154.88