Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.96 / $188.44 / $8,500.00	Facility		$120.96	$188.44	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $176.09 / $303.93	Professional		$110.64	$176.09	$303.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.86 / $323.36 / $463.87	Professional		$249.86	$323.36	$463.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $327.98 / $578.07	Professional		$158.91	$327.98	$578.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.96 / $188.44 / $362.88	Facility		$120.96	$188.44	$362.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.72 / $352.72 / $492.51	Professional		$192.72	$352.72	$492.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,365.06 / $1,365.06 / $1,365.06	Facility		$1,365.06	$1,365.06	$1,365.06
United Facility/Professional Professional Modifier Low / Median / High Price $192.72 / $375.68 / $492.51	Professional		$192.72	$375.68	$492.51