Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.05 / $252.26 / $2,000.00	Facility		$184.05	$252.26	$2,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.78 / $238.82 / $288.54	Professional		$178.78	$238.82	$288.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.79 / $490.25 / $642.40	Professional		$374.79	$490.25	$642.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $464.15 / $672.50	Professional		$230.15	$464.15	$672.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $184.05 / $285.20 / $520.37	Facility		$184.05	$285.20	$520.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $240.54 / $462.77 / $1,900.48	Professional		$240.54	$462.77	$1,900.48
United Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Facility		$125.00	$125.00	$125.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.81 / $429.49 / $658.17	Professional		$224.81	$429.49	$658.17