Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $199.53	Professional		$112.20	$147.91	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $251.19	Professional		$162.18	$190.55	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $354.81	Professional		$134.90	$213.80	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $162.18 / $295.12	Facility		$112.20	$162.18	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $407.38 / $1,047.13	Professional		$169.82	$407.38	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $288.40	Professional		$138.04	$186.21	$288.40