Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $138.04	Professional		$112.20	$112.20	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $169.82	Facility		$104.71	$112.20	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $181.97 / $478.63	Facility		$128.82	$181.97	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $1,621.81	Professional		$128.82	$128.82	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $331.13	Facility		$269.15	$316.23	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $331.13 / $398.11	Professional		$125.89	$331.13	$398.11