Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.37 / $1,246.78 / $1,453.50	Facility		$307.37	$1,246.78	$1,453.50
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $654.08 / $1,076.10 / $1,918.92	Facility	25	$654.08	$1,076.10	$1,918.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.72 / $116.96 / $300.60	Professional		$87.72	$116.96	$300.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.08 / $270.07 / $317.73	Professional	25	$96.08	$270.07	$317.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.71 / $278.48 / $305.32	Professional		$236.71	$278.48	$305.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.23 / $265.06 / $359.71	Professional		$167.23	$265.06	$359.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $152.10 / $201.46	Facility		$102.26	$152.10	$201.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $193.99 / $234.59 / $433.32	Professional		$193.99	$234.59	$433.32
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $199.33 / $282.27 / $363.92	Professional	25	$199.33	$282.27	$363.92
United Facility/Professional Professional Modifier Low / Median / High Price $121.98 / $215.90 / $302.22	Professional		$121.98	$215.90	$302.22