Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $164.25 / $293.77	Facility		$164.25	$164.25	$293.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $197.48	Professional		$164.25	$164.25	$197.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $178.20 / $179.09 / $181.39	Facility		$178.20	$179.09	$181.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $179.09 / $181.39	Professional		$152.00	$179.09	$181.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.13 / $164.25 / $197.02	Professional		$155.13	$164.25	$197.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.68 / $169.73 / $295.64	Facility		$144.68	$169.73	$295.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.21 / $181.69 / $3,623.57	Professional		$163.21	$181.69	$3,623.57
United Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $198.57	Professional		$164.25	$164.25	$198.57