Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.70 / $225.70 / $225.70	Facility		$225.70	$225.70	$225.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.00 / $192.60 / $225.70	Professional		$140.00	$192.60	$225.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $1.01 / $1.43	Facility		$0.87	$1.01	$1.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.64 / $297.64 / $297.64	Professional		$297.64	$297.64	$297.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.29 / $182.29 / $259.07	Professional		$182.29	$182.29	$259.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $225.70 / $393.25	Facility		$34.83	$225.70	$393.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.72 / $255.04 / $1,215.19	Professional		$160.72	$255.04	$1,215.19
United Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $234.25 / $397.88	Professional		$159.72	$234.25	$397.88