Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.19 / $190.96 / $712.62	Facility		$165.19	$190.96	$712.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $179.10 / $232.16	Professional		$165.83	$179.10	$232.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.15 / $163.78 / $186.18	Facility		$118.15	$163.78	$186.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.47 / $171.47 / $171.47	Professional		$171.47	$171.47	$171.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $165.83 / $165.83	Facility		$156.44	$165.83	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.77 / $175.43 / $226.74	Facility		$151.77	$175.43	$226.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $161.96 / $178.74	Professional		$161.96	$161.96	$178.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $197.07	Professional		$165.83	$165.83	$197.07