Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.21 / $219.21 / $277.31	Facility		$219.21	$219.21	$277.31
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,630.38 / $1,630.38 / $1,630.38	Facility	25	$1,630.38	$1,630.38	$1,630.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.09 / $239.91 / $611.10	Professional		$192.09	$239.91	$611.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $220.81 / $728.10 / $743.15	Professional	25	$220.81	$728.10	$743.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.71 / $539.40 / $696.30	Professional		$442.71	$539.40	$696.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.18 / $491.33 / $692.66	Professional		$248.18	$491.33	$692.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.74 / $279.87 / $521.57	Facility		$218.74	$279.87	$521.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $298.98 / $510.37 / $1,336.39	Professional		$298.98	$510.37	$1,336.39
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $383.74 / $526.29 / $526.41	Professional	25	$383.74	$526.29	$526.41
United Facility/Professional Professional Modifier Low / Median / High Price $283.64 / $537.46 / $721.43	Professional		$283.64	$537.46	$721.43