Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.53 / $281.36 / $422.04	Facility		$150.53	$281.36	$422.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.61 / $113.95 / $135.13	Professional		$112.61	$113.95	$135.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.03 / $413.40 / $654.88	Facility		$109.03	$413.40	$654.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $111.22 / $745.74	Professional		$76.45	$111.22	$745.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Professional		$119.58	$119.58	$119.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.87 / $135.69 / $161.03	Facility		$123.87	$135.69	$161.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24
United Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24