Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.03 / $164.03 / $164.03	Facility		$164.03	$164.03	$164.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $64.23 / $366.93	Professional		$54.94	$64.23	$366.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.90 / $298.92 / $492.00	Facility		$79.90	$298.92	$492.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.06 / $74.73 / $93.43	Professional		$56.06	$74.73	$93.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $61.38 / $61.38	Facility		$61.38	$61.38	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.09 / $83.51 / $149.51	Professional		$62.09	$83.51	$149.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.43 / $83.75 / $1,448.00	Facility		$60.43	$83.75	$1,448.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.36 / $80.11 / $519.52	Professional		$63.36	$80.11	$519.52
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $76.00 / $134.91	Professional		$62.01	$76.00	$134.91