Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.53 / $342.53 / $342.53	Facility		$342.53	$342.53	$342.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $238.47 / $381.55	Professional		$117.21	$238.47	$381.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.45 / $298.36 / $316.45	Facility		$273.45	$298.36	$316.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.14 / $296.14 / $296.14	Professional		$296.14	$296.14	$296.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $292.48	Facility		$292.48	$292.48	$292.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $292.48 / $655.30	Professional		$213.51	$292.48	$655.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.21 / $367.12 / $1,897.69	Facility		$117.21	$367.12	$1,897.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $243.50 / $581.96	Professional		$121.04	$243.50	$581.96
United Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $227.26 / $290.98	Professional		$151.50	$227.26	$290.98