Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.82 / $202.82 / $202.82	Facility		$202.82	$202.82	$202.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.94 / $162.26 / $202.82	Professional		$139.94	$162.26	$202.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $204.37 / $340.10	Facility		$154.00	$204.37	$340.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $159.38 / $159.38	Professional		$159.38	$159.38	$159.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Facility		$172.40	$172.40	$172.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.26 / $187.44 / $242.08	Facility		$162.26	$187.44	$242.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $726.48	Professional		$202.82	$202.82	$726.48
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $228.31	Professional		$202.82	$202.82	$228.31