Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $89.43 / $338.20	Facility		$62.98	$89.43	$338.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $44.99 / $62.98	Professional		$34.57	$44.99	$62.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $362.25 / $602.49	Facility		$92.09	$362.25	$602.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.44 / $143.36 / $179.20	Professional		$125.44	$143.36	$179.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $45.48 / $45.48	Facility		$45.48	$45.48	$45.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $85.09 / $190.20	Professional		$73.37	$85.09	$190.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.63 / $62.98 / $184.67	Facility		$38.63	$62.98	$184.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $30.91 / $280.19	Professional		$28.23	$30.91	$280.19
United Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $29.88 / $64.80	Professional		$26.83	$29.88	$64.80