Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $218.78	Professional		$104.71	$138.04	$218.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $147.91 / $158.49	Facility		$141.25	$147.91	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $302.00	Professional		$117.49	$117.49	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $177.83 / $562.34	Facility		$77.62	$177.83	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $1,479.11	Professional		$81.28	$125.89	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $204.17	Facility		$162.18	$199.53	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $125.89 / $186.21	Professional		$83.18	$125.89	$186.21