Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $110.57 / $8,500.00	Facility		$53.54	$110.57	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $87.84 / $152.94	Professional		$49.74	$87.84	$152.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.58 / $171.21 / $269.19	Professional		$102.58	$171.21	$269.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $175.03 / $366.04	Professional		$89.78	$175.03	$366.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.54 / $110.57 / $187.97	Facility		$53.54	$110.57	$187.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.05 / $201.90 / $866.64	Professional		$111.05	$201.90	$866.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,978.00 / $1,978.00 / $1,978.00	Facility		$1,978.00	$1,978.00	$1,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $171.62 / $238.64	Professional		$110.48	$171.62	$238.64