Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.36 / $170.36 / $170.36	Facility		$170.36	$170.36	$170.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $118.60 / $189.76	Professional		$72.51	$118.60	$189.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.57 / $130.44 / $138.38	Facility		$119.57	$130.44	$138.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.49 / $129.49 / $129.49	Professional		$129.49	$129.49	$129.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.51 / $194.51 / $194.51	Facility		$194.51	$194.51	$194.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.99 / $194.51 / $397.03	Professional		$141.99	$194.51	$397.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $182.57 / $1,187.13	Facility		$72.51	$182.57	$1,187.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $129.71 / $289.43	Professional		$74.88	$129.71	$289.43
United Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $113.02 / $173.08	Professional		$75.34	$113.02	$173.08