Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $67.61	Professional		$54.95	$57.54	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $147.91	Facility		$54.95	$69.18	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $263.03	Professional		$69.18	$69.18	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $69.18 / $69.18	Facility		$58.88	$69.18	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18