Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.44 / $97.44 / $97.44	Facility		$97.44	$97.44	$97.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $159.34 / $300.54	Professional		$115.94	$159.34	$300.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $274.89 / $497.00	Facility		$76.09	$274.89	$497.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.25 / $253.66 / $345.62	Professional		$190.25	$253.66	$345.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.58 / $176.58 / $176.58	Facility		$176.58	$176.58	$176.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.90 / $176.58 / $244.34	Professional		$128.90	$176.58	$244.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $165.79 / $1,382.94	Facility		$85.45	$165.79	$1,382.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.51 / $132.35 / $199.38	Professional		$119.51	$132.35	$199.38
United Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $132.35 / $199.38	Professional		$119.63	$132.35	$199.38