Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $112.20	Professional		$58.88	$93.33	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $204.17 / $323.59	Facility		$1.00	$204.17	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $123.03	Professional		$100.00	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $501.19	Professional		$199.53	$218.78	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $158.49 / $2,398.83	Facility		$91.20	$158.49	$2,398.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $186.21 / $575.44	Professional		$93.33	$186.21	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,862.09 / $3,467.37	Facility		$380.19	$1,862.09	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $323.59	Professional		$100.00	$162.18	$323.59