Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.92 / $381.42 / $441.15	Facility		$352.92	$381.42	$441.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.92 / $352.92 / $441.15	Professional		$352.92	$352.92	$441.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $169.57 / $178.49	Facility		$123.50	$169.57	$178.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Facility		$374.98	$374.98	$374.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.98 / $374.98 / $374.98	Professional		$374.98	$374.98	$374.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.77 / $152.57 / $441.15	Facility		$19.77	$152.57	$441.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $432.33	Professional		$367.63	$367.63	$432.33
United Facility/Professional Professional Modifier Low / Median / High Price $367.63 / $367.63 / $441.15	Professional		$367.63	$367.63	$441.15