Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $309.03	Professional		$104.71	$147.91	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $173.78 / $263.03	Facility		$54.95	$173.78	$263.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $251.19	Professional		$109.65	$141.25	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $812.83 / $9,120.11	Facility		$229.09	$812.83	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $218.78 / $501.19	Professional		$123.03	$218.78	$501.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $223.87 / $812.83	Facility		$141.25	$223.87	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $3,981.07	Professional		$162.18	$263.03	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $2,691.53 / $3,311.31	Facility		$85.11	$2,691.53	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $398.11	Professional		$154.88	$218.78	$398.11