Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $189.34 / $8,500.00	Facility		$130.51	$189.34	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.90 / $181.81 / $213.53	Professional		$123.90	$181.81	$213.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.67 / $340.09 / $489.46	Professional		$263.67	$340.09	$489.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.71 / $348.93 / $614.99	Professional		$195.71	$348.93	$614.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $189.34 / $391.53	Facility		$130.51	$189.34	$391.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.96 / $347.34 / $494.23	Professional		$196.96	$347.34	$494.23
United Facility/Professional Facility Modifier Low / Median / High Price $5,025.00 / $5,025.00 / $5,025.00	Facility		$5,025.00	$5,025.00	$5,025.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.96 / $360.74 / $494.23	Professional		$196.96	$360.74	$494.23