Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $741.31 / $954.99	Facility		$109.65	$741.31	$954.99
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $588.84 / $741.31 / $912.01	Facility	25	$588.84	$741.31	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $181.97	Professional		$52.48	$69.18	$181.97
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.23 / $93.33 / $162.18	Professional	25	$56.23	$93.33	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $181.97	Professional		$134.90	$162.18	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $147.91 / $213.80	Professional		$75.86	$147.91	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $81.28 / $190.55	Facility		$54.95	$81.28	$190.55
Medica Facility/Professional Facility Modifier 25 Low / Median / High Price $691.83 / $691.83 / $691.83	Facility	25	$691.83	$691.83	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $138.04 / $213.80	Professional		$85.11	$138.04	$213.80
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $117.49 / $151.36 / $173.78	Professional	25	$117.49	$151.36	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $165.96	Professional		$58.88	$109.65	$165.96