Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $162.18 / $489.78	Facility		$123.03	$162.18	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $186.21	Professional		$109.65	$141.25	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $436.52	Facility		$107.15	$107.15	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Professional		$199.53	$199.53	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $288.40	Facility		$120.23	$162.18	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $245.47	Professional		$69.18	$85.11	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $162.18 / $194.98	Facility		$69.18	$162.18	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $120.23	Professional		$69.18	$85.11	$120.23