Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.53 / $129.80 / $152.69	Facility		$113.53	$129.80	$152.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $122.49 / $152.69	Professional		$99.41	$122.49	$152.69
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.20 / $194.35 / $194.35	Professional		$165.20	$194.35	$194.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $199.00 / $216.19	Professional		$117.05	$199.00	$216.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.88 / $167.70 / $423.00	Facility		$138.88	$167.70	$423.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.23 / $135.08 / $197.06	Professional		$115.23	$135.08	$197.06
United Facility/Professional Facility Modifier Low / Median / High Price $174.85 / $174.85 / $174.85	Facility		$174.85	$174.85	$174.85
United Facility/Professional Professional Modifier Low / Median / High Price $113.61 / $136.97 / $219.69	Professional		$113.61	$136.97	$219.69