Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.39 / $174.56 / $261.83	Facility		$93.39	$174.56	$261.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $96.01 / $114.76	Professional		$95.63	$96.01	$114.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.88 / $299.81 / $483.36	Facility		$73.88	$299.81	$483.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.44 / $82.09 / $555.23	Professional		$56.44	$82.09	$555.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $87.28 / $87.28	Facility		$82.34	$87.28	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $112.80 / $136.75	Facility		$86.94	$112.80	$136.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $86.94 / $86.94	Professional		$86.94	$86.94	$86.94
United Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28