Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $724.44	Professional		$660.69	$660.69	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $208.93	Professional		$120.23	$147.91	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $660.69	Facility		$616.60	$616.60	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,174.90 / $1,819.70	Facility		$169.82	$1,174.90	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,096.48 / $1,621.81	Professional		$1,023.29	$1,096.48	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,023.29 / $1,659.59	Professional		$125.89	$1,023.29	$1,659.59