Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.93 / $267.93 / $267.93	Facility		$267.93	$267.93	$267.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.21 / $175.54 / $267.93	Professional		$104.21	$175.54	$267.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.47 / $138.40 / $147.21	Facility		$131.47	$138.40	$147.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.55 / $142.55 / $142.55	Professional		$142.55	$142.55	$142.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $268.08 / $268.08	Facility		$268.08	$268.08	$268.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $268.08 / $593.91	Professional		$195.70	$268.08	$593.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.21 / $260.77 / $1,700.62	Facility		$104.21	$260.77	$1,700.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $161.41 / $413.37	Professional		$107.62	$161.41	$413.37
United Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $161.41 / $225.72	Professional		$107.62	$161.41	$225.72