Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.22 / $176.22 / $176.22	Facility		$176.22	$176.22	$176.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.15 / $121.18 / $176.22	Professional		$114.15	$121.18	$176.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.99 / $139.65 / $148.12	Facility		$127.99	$139.65	$148.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $138.61 / $138.61	Professional		$138.61	$138.61	$138.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $210.68 / $502.03	Professional		$153.80	$210.68	$502.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.34 / $176.22 / $1,166.45	Facility		$109.34	$176.22	$1,166.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $148.27 / $365.13	Professional		$95.13	$148.27	$365.13
United Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $136.85 / $245.13	Professional		$95.13	$136.85	$245.13