Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.69 / $268.69 / $268.69	Facility		$268.69	$268.69	$268.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.09 / $194.76 / $268.69	Professional		$177.09	$194.76	$268.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.63 / $244.31 / $250.38	Professional		$206.63	$244.31	$250.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $256.13 / $258.69 / $325.27	Professional		$256.13	$258.69	$325.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.83 / $227.91 / $1,096.95	Facility		$120.83	$227.91	$1,096.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $179.61 / $294.25	Professional		$142.71	$179.61	$294.25
United Facility/Professional Professional Modifier Low / Median / High Price $107.85 / $220.99 / $294.25	Professional		$107.85	$220.99	$294.25