Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $158.49	Professional		$112.20	$112.20	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $251.19 / $616.60	Facility		$151.36	$251.19	$616.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $416.87	Professional		$177.83	$257.04	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $831.76	Facility		$128.82	$151.36	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $177.83	Professional		$128.82	$128.82	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $1,096.48	Facility		$295.12	$295.12	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $812.83	Professional		$125.89	$177.83	$812.83