Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $218.78 / $416.87	Facility		$165.96	$218.78	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $83.18	Professional		$54.95	$63.10	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $186.21	Facility		$74.13	$95.50	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $138.04	Professional		$67.61	$125.89	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $199.53	Professional		$95.50	$162.18	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $100.00 / $398.11	Facility		$30.20	$100.00	$398.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $91.20	Professional		$35.48	$50.12	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $75.86 / $125.89	Facility		$38.02	$75.86	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $91.20	Professional		$47.86	$50.12	$91.20