Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $83.68 / $8,500.00	Facility		$54.45	$83.68	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.45 / $83.68 / $116.52	Professional		$54.45	$83.68	$116.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $148.53 / $198.03	Professional		$101.92	$148.53	$198.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $128.62 / $268.99	Professional		$76.16	$128.62	$268.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $92.57 / $239.73	Facility		$54.45	$92.57	$239.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.01 / $167.09 / $218.52	Professional		$95.01	$167.09	$218.52
United Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $172.74 / $218.52	Professional		$103.64	$172.74	$218.52