Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $190.55	Facility		$134.90	$177.83	$190.55
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 Facility Modifier Low / Median / High Price $234.42 / $251.19 / $316.23	Facility		$234.42	$251.19	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $190.55 / $588.84	Facility		$144.54	$190.55	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $194.98	Professional		$154.88	$177.83	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $181.97	Facility		$169.82	$169.82	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $204.17	Professional		$158.49	$190.55	$204.17