Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $245.47 / $416.87	Facility		$223.87	$245.47	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $229.09 / $263.03	Professional		$223.87	$229.09	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $181.97 / $295.12	Facility		$114.82	$181.97	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $223.87	Facility		$213.80	$213.80	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $245.47 / $346.74	Facility		$223.87	$245.47	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $223.87 / $223.87	Professional		$218.78	$223.87	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $223.87 / $223.87	Professional		$218.78	$223.87	$223.87