Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $288.40 / $741.31	Facility		$109.65	$288.40	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $169.82	Professional		$93.33	$112.20	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $257.04 / $389.05	Facility		$79.43	$257.04	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $239.88	Professional		$120.23	$125.89	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $138.04 / $467.74	Facility		$83.18	$138.04	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $257.04	Facility		$95.50	$141.25	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $707.95	Professional		$60.26	$60.26	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $169.82	Facility		$128.82	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $85.11	Professional		$60.26	$60.26	$85.11