Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.28 / $257.67 / $697.49	Facility		$159.28	$257.67	$697.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $131.11 / $148.59	Professional		$116.25	$131.11	$148.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.48 / $457.54 / $724.80	Facility		$120.48	$457.54	$724.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $166.84 / $808.13	Professional		$114.70	$166.84	$808.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.54 / $272.70 / $488.61	Facility		$101.54	$272.70	$488.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $174.81 / $315.47	Facility		$117.12	$174.81	$315.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $874.05	Professional		$73.42	$73.42	$874.05
United Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $174.81 / $218.51	Facility		$174.81	$174.81	$218.51
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $104.89	Professional		$73.42	$73.42	$104.89