Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.83 / $120.83 / $152.02	Facility		$120.83	$120.83	$152.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $125.92 / $152.02	Professional		$101.06	$125.92	$152.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.33 / $434.24 / $686.10	Facility		$273.33	$434.24	$686.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $149.47 / $194.44	Professional		$108.85	$149.47	$194.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.54 / $110.54 / $110.54	Facility		$110.54	$110.54	$110.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.13 / $163.61 / $225.29	Professional		$118.13	$163.61	$225.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.82 / $167.22 / $940.92	Facility		$113.82	$167.22	$940.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $170.58 / $1,099.20	Professional		$126.08	$170.58	$1,099.20
United Facility/Professional Facility Modifier Low / Median / High Price $170.55 / $678.00 / $1,582.00	Facility		$170.55	$678.00	$1,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.66 / $148.33 / $219.68	Professional		$118.66	$148.33	$219.68