Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.42 / $727.42 / $727.42	Facility		$727.42	$727.42	$727.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $93.89 / $189.51	Professional		$71.56	$93.89	$189.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.26 / $150.49 / $250.29	Facility		$38.26	$150.49	$250.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $111.15 / $138.94	Professional		$97.26	$111.15	$138.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.15 / $259.83 / $328.28	Facility		$179.15	$259.83	$328.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $116.84 / $203.93	Professional		$80.98	$116.84	$203.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.57 / $121.88 / $289.00	Facility		$99.57	$121.88	$289.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.28 / $108.01 / $689.38	Professional		$85.28	$108.01	$689.38
United Facility/Professional Facility Modifier Low / Median / High Price $108.97 / $108.97 / $240.48	Facility		$108.97	$108.97	$240.48
United Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $104.66 / $164.20	Professional		$83.73	$104.66	$164.20