Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.49 / $341.85 / $779.47	Facility		$98.49	$341.85	$779.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $105.79 / $281.16	Professional		$96.18	$105.79	$281.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $151.76 / $160.69 / $543.00	Professional	50	$151.76	$160.69	$543.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $221.59 / $260.69	Professional		$180.16	$221.59	$260.69
BCBS Facility/Professional Professional Modifier 22 Low / Median / High Price $211.54 / $260.18 / $312.83	Professional	22	$211.54	$260.18	$312.83
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $270.24 / $325.23 / $391.04	Professional	50	$270.24	$325.23	$391.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $199.90 / $295.62	Professional		$98.40	$199.90	$295.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.65 / $171.99 / $346.64	Facility		$98.65	$171.99	$346.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $220.96 / $290.45	Professional		$122.32	$220.96	$290.45
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $260.07 / $331.46 / $435.68	Professional	50	$260.07	$331.46	$435.68
United Facility/Professional Facility Modifier Low / Median / High Price $271.00 / $271.00 / $271.00	Facility		$271.00	$271.00	$271.00
United Facility/Professional Professional Modifier Low / Median / High Price $103.22 / $182.85 / $218.36	Professional		$103.22	$182.85	$218.36