Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.96 / $174.91 / $297.35	Facility		$161.96	$174.91	$297.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.10 / $179.10 / $179.10	Professional		$179.10	$179.10	$179.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.35 / $96.76 / $153.44	Facility		$61.35	$96.76	$153.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $156.44 / $165.83	Facility		$156.44	$156.44	$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 $103.06 / $174.91 / $250.12	Facility		$103.06	$174.91	$250.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.96 / $161.96 / $165.83	Professional		$161.96	$161.96	$165.83
United Facility/Professional Professional Modifier Low / Median / High Price $165.83 / $165.83 / $165.83	Professional		$165.83	$165.83	$165.83