Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.67 / $201.75 / $272.23	Facility		$79.67	$201.75	$272.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $63.32 / $86.96	Professional		$46.09	$63.32	$86.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.18 / $122.96 / $183.39	Facility		$104.18	$122.96	$183.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.01 / $119.01 / $119.01	Professional		$119.01	$119.01	$119.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.16 / $109.74 / $534.01	Facility		$57.16	$109.74	$534.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $126.93 / $208.00	Professional		$50.95	$126.93	$208.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.33 / $63.33 / $187.12	Facility		$63.33	$63.33	$187.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $64.08 / $177.40	Professional		$36.52	$64.08	$177.40
United Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $52.18 / $180.95	Professional		$36.52	$52.18	$180.95