Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.32 / $387.52 / $581.28	Facility		$207.32	$387.52	$581.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.73 / $213.13 / $250.48	Professional		$208.73	$213.13	$250.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.32 / $655.97 / $1,061.98	Facility		$162.32	$655.97	$1,061.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.99 / $180.35 / $1,232.54	Professional		$123.99	$180.35	$1,232.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $193.76 / $193.76	Facility		$182.79	$193.76	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $247.82 / $298.48	Facility		$189.75	$247.82	$298.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $189.75 / $189.75 / $189.75	Professional		$189.75	$189.75	$189.75
United Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76