Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.51 / $283.20 / $629.37	Facility		$151.51	$283.20	$629.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $114.70 / $137.63	Professional		$114.70	$114.70	$137.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.87 / $421.02 / $667.02	Facility		$110.87	$421.02	$667.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.88 / $113.28 / $750.62	Professional		$77.88	$113.28	$750.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.17 / $141.60 / $242.66	Facility		$126.17	$141.60	$242.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00