Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $389.05	Professional		$204.17	$239.88	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $416.87 / $416.87	Professional		$281.84	$416.87	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $512.86	Professional		$213.80	$213.80	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $295.12 / $1,445.44	Facility		$204.17	$295.12	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $269.15 / $616.60	Professional		$138.04	$269.15	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $478.63 / $489.78	Facility		$275.42	$478.63	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $316.23	Professional		$138.04	$213.80	$316.23