Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.47 / $216.94 / $2,302.44	Facility		$151.47	$216.94	$2,302.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.55 / $1,095.58	Professional		$108.47	$109.55	$1,095.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.42 / $387.02 / $687.92	Facility		$87.42	$387.02	$687.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $105.78 / $116.36	Professional		$104.13	$105.78	$116.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $108.47 / $136.05	Facility		$108.47	$108.47	$136.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $108.47	Professional		$108.47	$108.47	$108.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $132.22 / $600.79	Facility		$109.28	$132.22	$600.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $109.28 / $418.67	Professional		$109.28	$109.28	$418.67
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $114.98	Professional		$108.47	$108.47	$114.98