Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $147.97 / $147.97	Facility		$147.97	$147.97	$147.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.97 / $155.36 / $169.13	Professional		$147.97	$155.36	$169.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.01 / $302.01 / $302.01	Professional		$302.01	$302.01	$302.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $161.63	Professional		$117.99	$161.63	$161.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.31 / $207.15 / $1,316.67	Facility		$83.31	$207.15	$1,316.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $170.54 / $336.82	Professional		$86.03	$170.54	$336.82
United Facility/Professional Facility Modifier Low / Median / High Price $107.54 / $107.54 / $107.54	Facility		$107.54	$107.54	$107.54
United Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $164.39 / $194.40	Professional		$86.03	$164.39	$194.40