Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.33 / $186.35 / $3,788.16	Facility		$148.33	$186.35	$3,788.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $186.87 / $242.24	Professional		$173.03	$186.87	$242.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $193.56 / $306.88	Facility		$122.70	$193.56	$306.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $173.03	Facility		$163.24	$163.24	$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 $119.07 / $186.35 / $250.89	Facility		$119.07	$186.35	$250.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.24 / $172.55 / $2,975.90	Professional		$151.24	$172.55	$2,975.90
United Facility/Professional Facility Modifier Low / Median / High Price $183.59 / $183.59 / $183.59	Facility		$183.59	$183.59	$183.59
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $198.98	Professional		$173.03	$173.03	$198.98