Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.31 / $319.31 / $319.31	Facility		$319.31	$319.31	$319.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $209.20 / $319.31	Professional		$93.15	$209.20	$319.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.55 / $310.45 / $329.31	Facility		$284.55	$310.45	$329.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $308.16 / $308.16 / $308.16	Professional		$308.16	$308.16	$308.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.71 / $180.71 / $180.71	Facility		$180.71	$180.71	$180.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $180.71 / $558.75	Professional		$131.91	$180.71	$558.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.15 / $310.76 / $1,641.93	Facility		$93.15	$310.76	$1,641.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $185.96 / $492.64	Professional		$96.18	$185.96	$492.64
United Facility/Professional Professional Modifier Low / Median / High Price $122.28 / $192.37 / $257.64	Professional		$122.28	$192.37	$257.64