Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $275.42	Professional		$109.65	$190.55	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $331.13	Professional		$229.09	$229.09	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $204.17 / $1,122.02	Facility		$144.54	$204.17	$1,122.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $478.63	Professional		$141.25	$229.09	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $281.84 / $446.68	Facility		$208.93	$281.84	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $213.80 / $331.13	Professional		$141.25	$213.80	$331.13