Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.40 / $351.25 / $16,036.49	Facility		$201.40	$351.25	$16,036.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.76 / $258.83	Professional		$173.03	$174.76	$258.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.41 / $519.04 / $905.64	Facility		$138.41	$519.04	$905.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.63 / $166.11 / $180.65	Professional		$159.63	$166.11	$180.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $173.03 / $173.03	Facility		$163.24	$173.03	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.03 / $189.80 / $295.88	Facility		$114.03	$189.80	$295.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $172.55 / $2,975.90	Professional		$172.55	$172.55	$2,975.90
United Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $242.24	Facility		$173.03	$173.03	$242.24
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $183.41	Professional		$173.03	$173.03	$183.41