Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $162.18 / $309.03	Facility		$123.03	$162.18	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $46.77 / $61.66	Professional		$40.74	$46.77	$61.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $245.47	Facility		$95.50	$125.89	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $102.33	Professional		$50.12	$95.50	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $120.23 / $147.91	Professional		$70.79	$120.23	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $74.13 / $295.12	Facility		$22.39	$74.13	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $67.61	Professional		$26.30	$37.15	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $56.23 / $93.33	Facility		$28.18	$56.23	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $37.15 / $67.61	Professional		$35.48	$37.15	$67.61