Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.28 / $349.62 / $697.49	Facility		$159.28	$349.62	$697.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.12 / $131.11 / $148.59	Professional		$117.12	$131.11	$148.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.48 / $457.54 / $724.80	Facility		$120.48	$457.54	$724.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $166.84 / $808.13	Professional		$114.70	$166.84	$808.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.60 / $306.80 / $511.34	Facility		$127.60	$306.80	$511.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $131.34 / $216.96	Professional		$79.91	$131.34	$216.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.12 / $174.81 / $316.12	Facility		$117.12	$174.81	$316.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $874.05	Professional		$73.42	$73.42	$874.05
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $73.42 / $104.89	Professional		$73.42	$73.42	$104.89