Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $263.03 / $338.84	Facility		$125.89	$263.03	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $213.80	Professional		$58.88	$87.10	$213.80
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $89.13 / $89.13 / $89.13	Professional	CQ	$89.13	$89.13	$89.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $257.04	Professional		$177.83	$218.78	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $134.90	Professional		$85.11	$107.15	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $316.23	Facility		$77.62	$131.83	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $234.42	Professional		$69.18	$144.54	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $177.83	Professional		$69.18	$87.10	$177.83