Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $371.54	Facility		$204.17	$204.17	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $245.47	Professional		$204.17	$204.17	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $229.09	Professional		$165.96	$223.87	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $263.03	Professional		$208.93	$208.93	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $1,023.29	Facility		$204.17	$208.93	$1,023.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $223.87	Professional		$204.17	$204.17	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $204.17 / $257.04	Professional		$81.28	$204.17	$257.04