Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $190.55 / $1,318.26	Facility		$128.82	$190.55	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $269.15	Professional		$114.82	$162.18	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $426.58	Facility		$218.78	$323.59	$426.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $147.91 / $281.84	Facility		$112.20	$147.91	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $173.78 / $389.05	Professional		$102.33	$173.78	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $239.88 / $346.74	Facility		$134.90	$239.88	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $1,412.54	Professional		$104.71	$147.91	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $173.78 / $208.93	Facility		$61.66	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $251.19	Professional		$104.71	$141.25	$251.19