Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.20 / $328.50 / $492.75	Facility		$190.20	$328.50	$492.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $165.90 / $215.44	Professional		$164.25	$165.90	$215.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.40 / $490.61 / $859.68	Facility		$131.40	$490.61	$859.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $157.68 / $171.48	Professional		$147.41	$157.68	$171.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $164.25 / $164.25	Facility		$154.96	$164.25	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Professional		$164.25	$164.25	$164.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $188.89 / $289.04	Facility		$163.21	$188.89	$289.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $163.21 / $354.17	Professional		$163.21	$163.21	$354.17
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $182.84	Professional		$164.25	$164.25	$182.84