Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.90 / $130.90 / $130.90	Facility		$130.90	$130.90	$130.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.99 / $133.63 / $171.97	Professional		$124.99	$133.63	$171.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.02 / $137.43 / $183.88	Facility		$127.02	$137.43	$183.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.50 / $183.53 / $224.42	Professional		$136.50	$183.53	$224.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.46 / $53.46 / $1,128.18	Facility		$53.46	$53.46	$1,128.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.81 / $188.77 / $252.53	Professional		$142.81	$188.77	$252.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.26 / $160.36 / $312.85	Facility		$119.26	$160.36	$312.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $167.52 / $304.66	Professional		$123.01	$167.52	$304.66
United Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $158.97 / $250.32	Professional		$115.78	$158.97	$250.32