Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.15 / $146.15 / $146.15	Facility		$146.15	$146.15	$146.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.15 / $172.69 / $332.91	Professional		$146.15	$172.69	$332.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.80 / $322.02 / $378.86	Professional		$290.80	$322.02	$378.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.53 / $376.58 / $486.30	Professional		$232.53	$376.58	$486.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.75 / $159.80 / $248.46	Facility		$110.75	$159.80	$248.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $241.76 / $975.32	Professional		$143.94	$241.76	$975.32
United Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $236.82 / $350.89	Professional		$143.94	$236.82	$350.89