Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.80 / $233.07 / $559.37	Facility		$174.80	$233.07	$559.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $174.80 / $233.07	Professional		$172.47	$174.80	$233.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.73 / $525.79 / $761.61	Facility		$387.73	$525.79	$761.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.42 / $221.42 / $221.42	Professional		$221.42	$221.42	$221.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.50 / $151.50 / $622.66	Facility		$151.50	$151.50	$622.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $216.78 / $425.00	Professional		$103.90	$216.78	$425.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.80 / $326.30 / $424.76	Facility		$174.80	$326.30	$424.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $123.22 / $349.61	Professional		$97.89	$123.22	$349.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,328.78 / $1,328.78 / $1,328.78	Facility		$1,328.78	$1,328.78	$1,328.78
United Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $123.22 / $176.03	Professional		$97.89	$123.22	$176.03