Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $47.86 / $77.62	Professional		$38.90	$47.86	$77.62
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $104.71 / $263.03	Facility		$58.88	$104.71	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $123.03 / $131.83	Facility		$29.51	$123.03	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $158.49	Professional		$56.23	$87.10	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $95.50 / $131.83	Facility		$93.33	$95.50	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $91.20 / $151.36	Professional		$58.88	$91.20	$151.36