Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $194.98	Facility		$190.55	$190.55	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $181.97	Professional		$138.04	$181.97	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $218.78	Facility		$190.55	$190.55	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $245.47	Professional		$190.55	$194.98	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $288.40 / $575.44	Facility		$190.55	$288.40	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $177.83	Professional		$162.18	$177.83	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $186.21 / $204.17	Professional		$169.82	$186.21	$204.17