Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $87.84 / $87.84	Facility		$87.84	$87.84	$87.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $81.84 / $99.50	Professional		$57.87	$81.84	$99.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.63 / $847.56 / $1,486.12	Facility		$558.63	$847.56	$1,486.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $104.76 / $104.76	Facility		$104.76	$104.76	$104.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.75 / $175.63 / $438.09	Professional		$147.75	$175.63	$438.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.96 / $129.02 / $206.64	Facility		$62.96	$129.02	$206.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $155.44 / $439.74	Professional		$88.06	$155.44	$439.74
United Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $149.91 / $268.48	Professional		$88.06	$149.91	$268.48