Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.18 / $347.18 / $347.18	Facility		$347.18	$347.18	$347.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $175.28 / $347.19	Professional		$143.75	$175.28	$347.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.60 / $163.33 / $272.17	Facility		$41.60	$163.33	$272.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $41.60 / $48.36	Professional		$34.84	$41.60	$48.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.65 / $148.66 / $178.12	Professional		$141.65	$148.66	$178.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.28 / $347.19 / $496.48	Facility		$175.28	$347.19	$496.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.97 / $115.97 / $115.97	Professional		$115.97	$115.97	$115.97
United Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $53.35 / $53.35	Professional		$53.35	$53.35	$53.35