Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.62 / $115.62 / $223.99	Facility		$115.62	$115.62	$223.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $125.04 / $158.12	Professional		$91.87	$125.04	$158.12
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $141.11 / $144.63 / $272.12	Professional	25	$141.11	$144.63	$272.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.56 / $295.95 / $331.61	Professional		$251.56	$295.95	$331.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $146.58 / $184.31	Professional		$116.36	$146.58	$184.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.62 / $157.31 / $227.32	Facility		$115.62	$157.31	$227.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $212.10 / $818.99	Professional		$117.29	$212.10	$818.99
United Facility/Professional Professional Modifier Low / Median / High Price $117.14 / $212.10 / $287.89	Professional		$117.14	$212.10	$287.89