Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $68.70 / $8,500.00	Facility		$38.75	$68.70	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $68.70 / $72.04	Professional		$36.49	$68.70	$72.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $98.71 / $183.24	Professional		$76.27	$98.71	$183.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.48 / $111.84 / $227.85	Professional		$55.48	$111.84	$227.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $68.70 / $116.79	Facility		$38.75	$68.70	$116.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.87 / $123.40 / $179.21	Professional		$67.87	$123.40	$179.21
United Facility/Professional Professional Modifier Low / Median / High Price $74.04 / $116.02 / $179.21	Professional		$74.04	$116.02	$179.21