Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.09 / $172.09 / $172.09	Facility		$172.09	$172.09	$172.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $119.81 / $191.69	Professional		$67.15	$119.81	$191.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.47 / $181.55 / $193.12	Facility		$172.47	$181.55	$193.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.63 / $190.63 / $190.63	Professional		$190.63	$190.63	$190.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.58 / $175.58 / $175.58	Facility		$175.58	$175.58	$175.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.16 / $175.58 / $375.00	Professional		$128.16	$175.58	$375.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.15 / $184.44 / $1,083.05	Facility		$67.15	$184.44	$1,083.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $131.04 / $292.38	Professional		$69.34	$131.04	$292.38
United Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $114.18 / $160.29	Professional		$76.12	$114.18	$160.29