Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.48 / $494.48 / $494.48	Facility		$494.48	$494.48	$494.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.80 / $344.26 / $550.82	Professional		$211.80	$344.26	$550.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.40 / $423.58 / $450.58	Facility		$402.40	$423.58	$450.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.23 / $453.23 / $453.23	Professional		$453.23	$453.23	$453.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $410.92 / $1,080.00	Professional		$299.97	$410.92	$1,080.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $211.80 / $529.99 / $3,432.45	Facility		$211.80	$529.99	$3,432.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $376.54 / $840.16	Professional		$218.72	$376.54	$840.16
United Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $328.08 / $505.56	Professional		$218.72	$328.08	$505.56