Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $562.34 / $891.25	Facility		$275.42	$562.34	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $426.58	Professional		$169.82	$223.87	$426.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $407.38 / $436.52	Facility		$275.42	$407.38	$436.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $467.74 / $1,445.44	Facility		$208.93	$467.74	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $245.47 / $512.86	Professional		$158.49	$245.47	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $309.03 / $489.78	Facility		$204.17	$309.03	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $213.80 / $1,318.26	Professional		$107.15	$213.80	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $257.04 / $389.05	Facility		$107.15	$257.04	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $354.81	Professional		$107.15	$154.88	$354.81