Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $177.83	Professional		$162.18	$162.18	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $204.17	Facility		$154.88	$154.88	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $204.17	Professional		$158.49	$204.17	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.13 / $177.83 / $239.88	Facility		$0.13	$177.83	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $213.80	Professional		$154.88	$190.55	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Facility		$186.21	$186.21	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $218.78	Professional		$154.88	$194.98	$218.78