Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.22 / $121.22 / $311.70	Facility		$121.22	$121.22	$311.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $162.78 / $162.78	Professional		$121.22	$162.78	$162.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.67 / $348.94 / $389.63	Professional		$260.67	$348.94	$389.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.07 / $199.07 / $292.24	Professional		$199.07	$199.07	$292.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $135.07 / $311.70	Facility		$103.90	$135.07	$311.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.04 / $346.34 / $1,423.97	Professional		$190.04	$346.34	$1,423.97
United Facility/Professional Professional Modifier Low / Median / High Price $103.90 / $190.04 / $427.59	Professional		$103.90	$190.04	$427.59