Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $316.23	Facility		$173.78	$173.78	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $208.93	Professional		$141.25	$190.55	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $177.83 / $223.87	Professional		$173.78	$177.83	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $173.78 / $309.03	Facility		$120.23	$173.78	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $218.78	Professional		$173.78	$190.55	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $208.93	Professional		$173.78	$173.78	$208.93