Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $526.40	Facility		$142.63	$142.63	$526.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $213.94	Professional		$142.62	$142.63	$213.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $287.39 / $320.92	Professional		$214.70	$287.39	$320.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.88 / $163.88 / $240.58	Professional		$163.88	$163.88	$240.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.53 / $142.63 / $300.35	Facility		$118.53	$142.63	$300.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $187.53 / $317.58	Professional		$80.53	$187.53	$317.58
United Facility/Professional Professional Modifier Low / Median / High Price $66.69 / $161.97 / $269.94	Professional		$66.69	$161.97	$269.94