Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $251.19 / $501.19	Facility		$128.82	$251.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $144.54	Professional		$93.33	$109.65	$144.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $245.47 / $302.00	Facility		$120.23	$245.47	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $181.97	Facility		$107.15	$134.90	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $676.08	Professional		$56.23	$81.28	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $134.90 / $162.18	Facility		$56.23	$134.90	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $173.78	Professional		$56.23	$81.28	$173.78