Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $190.59 / $197.24	Professional		$129.44	$190.59	$197.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.62 / $221.62 / $221.62	Professional		$221.62	$221.62	$221.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $91.11 / $91.11	Professional		$91.11	$91.11	$91.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.12 / $190.59 / $291.02	Facility		$169.12	$190.59	$291.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $120.64 / $256.22	Professional		$63.13	$120.64	$256.22
United Facility/Professional Professional Modifier Low / Median / High Price $63.13 / $78.92 / $135.86	Professional		$63.13	$78.92	$135.86