Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.59 / $651.36 / $1,203.00	Facility		$141.59	$651.36	$1,203.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $113.28 / $141.60	Professional		$113.28	$113.28	$141.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.75 / $143.22 / $153.84	Facility		$121.75	$143.22	$153.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
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 $97.42 / $139.50 / $141.60	Facility		$97.42	$139.50	$141.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $138.77	Professional		$118.00	$118.00	$138.77
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $141.60	Professional		$118.00	$118.00	$141.60