Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.06 / $149.06 / $149.06	Facility		$149.06	$149.06	$149.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $103.77 / $166.04	Professional		$57.30	$103.77	$166.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $375.69 / $391.54 / $416.49	Facility		$375.69	$391.54	$416.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.96 / $371.96 / $371.96	Professional		$371.96	$371.96	$371.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $120.62	Facility		$120.62	$120.62	$120.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $288.75	Professional		$88.05	$120.62	$288.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.30 / $159.75 / $927.48	Facility		$57.30	$159.75	$927.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.18 / $105.96 / $253.25	Professional		$59.18	$105.96	$253.25
United Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $98.90 / $149.53	Professional		$65.93	$98.90	$149.53