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 $109.65 / $112.20 / $134.90	Professional		$109.65	$112.20	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $109.65 / $169.82	Facility		$102.33	$109.65	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $177.83 / $707.95	Facility		$128.82	$177.83	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $1,659.59	Professional		$128.82	$128.82	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,412.54 / $1,659.59	Facility		$204.17	$1,412.54	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $1,659.59	Professional		$125.89	$204.17	$1,659.59