Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $151.36 / $208.93	Professional		$77.62	$151.36	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $295.12 / $363.08	Professional		$91.20	$295.12	$363.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $208.93 / $346.74	Facility		$154.88	$208.93	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $151.36	Professional		$63.10	$95.50	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $141.25	Professional		$69.18	$95.50	$141.25