Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $105.60	Facility		$76.73	$76.73	$105.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $92.56 / $107.29	Professional		$71.20	$92.56	$107.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $197.42 / $269.41	Professional		$152.55	$197.42	$269.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.31 / $193.99 / $283.38	Professional		$103.31	$193.99	$283.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $106.71 / $185.11	Facility		$76.73	$106.71	$185.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $182.66 / $561.76	Professional		$109.60	$182.66	$561.76
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 $109.60 / $164.39 / $242.95	Professional		$109.60	$164.39	$242.95