Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.28 / $164.28 / $164.28	Facility		$164.28	$164.28	$164.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.26 / $164.28 / $168.34	Professional		$162.26	$164.28	$168.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $193.51 / $306.88	Facility		$122.70	$193.51	$306.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.40 / $172.40 / $172.40	Professional		$172.40	$172.40	$172.40
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 $164.28 / $171.17 / $245.08	Facility		$164.28	$171.17	$245.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $196.92 / $202.82 / $726.48	Professional		$196.92	$202.82	$726.48
United Facility/Professional Professional Modifier Low / Median / High Price $202.82 / $202.82 / $217.34	Professional		$202.82	$202.82	$217.34