Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $562.34 / $691.83	Professional		$549.54	$562.34	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $524.81 / $549.54	Facility		$169.82	$524.81	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,019.95 / $4,365.16	Facility		$1,047.13	$3,019.95	$4,365.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $9,332.54	Professional		$2,818.38	$2,818.38	$9,332.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $2,818.38	Facility		$2,290.87	$2,691.53	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $2,691.53 / $2,818.38	Professional		$125.89	$2,691.53	$2,818.38