Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $120.38 / $120.38	Facility		$120.38	$120.38	$120.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $110.53 / $120.38	Professional		$109.44	$110.53	$120.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.50 / $393.37 / $972.80	Facility		$166.50	$393.37	$972.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.10 / $208.13 / $491.70	Professional		$169.10	$208.13	$491.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.78 / $157.43 / $302.83	Facility		$126.78	$157.43	$302.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $130.11 / $282.33	Professional		$130.11	$130.11	$282.33
United Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Professional		$109.44	$109.44	$109.44