Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $214.94 / $738.00	Facility		$84.24	$214.94	$738.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.96 / $247.96 / $254.08	Professional		$247.96	$247.96	$254.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.30 / $475.84 / $753.80	Facility		$125.30	$475.84	$753.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.18 / $221.57 / $1,073.22	Professional		$166.18	$221.57	$1,073.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $247.96 / $306.12 / $1,093.28	Facility		$247.96	$306.12	$1,093.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $553.57	Professional		$255.10	$255.10	$553.57
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $255.10	Professional		$255.10	$255.10	$255.10