Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $288.40 / $588.84	Facility		$151.36	$288.40	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $190.55	Professional		$104.71	$128.82	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $288.40 / $354.81	Facility		$141.25	$288.40	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $208.93	Facility		$125.89	$158.49	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $776.25	Professional		$66.07	$93.33	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $158.49 / $186.21	Facility		$66.07	$158.49	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $204.17	Professional		$66.07	$93.33	$204.17