Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.58 / $209.58 / $209.58	Facility		$209.58	$209.58	$209.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.44 / $137.31 / $209.58	Professional		$104.44	$137.31	$209.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $250.26 / $266.20	Facility		$237.75	$250.26	$266.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.77 / $262.77 / $262.77	Professional		$262.77	$262.77	$262.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $320.16	Professional		$156.91	$214.95	$320.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.44 / $209.58 / $1,096.95	Facility		$104.44	$209.58	$1,096.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $167.69 / $385.44	Professional		$107.85	$167.69	$385.44
United Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $167.69 / $224.58	Professional		$111.79	$167.69	$224.58