Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.62 / $97.12 / $8,500.00	Facility		$90.62	$97.12	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $90.54 / $119.99	Professional		$82.31	$90.54	$119.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.88 / $200.71 / $236.12	Professional		$176.88	$200.71	$236.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $211.82 / $289.04	Professional		$138.21	$211.82	$289.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.62 / $117.66 / $271.86	Facility		$90.62	$117.66	$271.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $154.66 / $650.40	Professional		$94.51	$154.66	$650.40
United Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $146.06 / $209.61	Professional		$91.12	$146.06	$209.61