Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.10 / $190.10 / $190.10	Facility		$190.10	$190.10	$190.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $16.57 / $190.10	Professional		$9.51	$16.57	$190.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $33.06 / $40.98	Professional		$16.94	$33.06	$40.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.18 / $22.86	Professional		$18.00	$18.18	$22.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $32.57 / $244.00	Facility		$16.01	$32.57	$244.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $29.39 / $102.53	Professional		$16.73	$29.39	$102.53
United Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $28.44 / $36.90	Professional		$16.73	$28.44	$36.90