Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.89 / $244.89 / $244.89	Facility		$244.89	$244.89	$244.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.90 / $170.49 / $272.79	Professional		$104.90	$170.49	$272.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.07 / $272.70 / $290.08	Facility		$259.07	$272.70	$290.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.33 / $286.33 / $286.33	Professional		$286.33	$286.33	$286.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.51 / $472.03	Professional		$148.56	$203.51	$472.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.90 / $259.58 / $1,717.84	Facility		$104.90	$259.58	$1,717.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $186.48 / $416.08	Professional		$108.32	$186.48	$416.08
United Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $162.47 / $250.38	Professional		$108.32	$162.47	$250.38