Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.38 / $239.38 / $239.38	Facility		$239.38	$239.38	$239.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.53 / $166.66 / $266.64	Professional		$102.53	$166.66	$266.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $303.08 / $330.68 / $350.74	Facility		$303.08	$330.68	$350.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.22 / $328.22 / $328.22	Professional		$328.22	$328.22	$328.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.07 / $221.07 / $221.07	Facility		$221.07	$221.07	$221.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $221.07 / $495.00	Professional		$161.38	$221.07	$495.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.53 / $256.57 / $1,741.43	Facility		$102.53	$256.57	$1,741.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $182.28 / $406.73	Professional		$105.88	$182.28	$406.73
United Facility/Professional Professional Modifier Low / Median / High Price $105.88 / $158.83 / $244.74	Professional		$105.88	$158.83	$244.74