Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.56 / $218.82 / $343.62	Facility		$122.56	$218.82	$343.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $208.37 / $672.86	Professional		$115.68	$208.37	$672.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $394.34 / $649.23	Facility		$97.70	$394.34	$649.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $94.58 / $728.62	Professional		$65.02	$94.58	$728.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Facility		$114.54	$114.54	$114.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $153.68 / $520.79	Facility		$97.70	$153.68	$520.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $97.70	Professional		$97.70	$97.70	$97.70
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54