Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.02 / $196.02 / $196.02	Facility		$196.02	$196.02	$196.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $196.02 / $205.70	Professional		$193.60	$196.02	$205.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.18 / $387.87 / $959.20	Facility		$164.18	$387.87	$959.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.74 / $205.22 / $484.82	Professional		$166.74	$205.22	$484.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Facility		$205.70	$205.70	$205.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.70 / $205.70 / $205.70	Professional		$205.70	$205.70	$205.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $215.62 / $397.92	Facility		$92.67	$215.62	$397.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $477.40	Professional		$220.00	$220.00	$477.40
United Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $220.00 / $220.00	Professional		$220.00	$220.00	$220.00