Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.44 / $268.44 / $268.44	Facility		$268.44	$268.44	$268.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $186.89 / $299.02	Professional		$108.72	$186.89	$299.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $336.24 / $366.85 / $389.12	Facility		$336.24	$366.85	$389.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.13 / $364.13 / $364.13	Professional		$364.13	$364.13	$364.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $271.68	Facility		$271.68	$271.68	$271.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $271.68 / $584.53	Professional		$198.33	$271.68	$584.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $287.70 / $1,747.51	Facility		$108.72	$287.70	$1,747.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.27 / $204.40 / $456.08	Professional		$112.27	$204.40	$456.08
United Facility/Professional Professional Modifier Low / Median / High Price $118.74 / $178.10 / $259.50	Professional		$118.74	$178.10	$259.50