Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $199.53 / $275.42	Facility		$81.28	$199.53	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $91.20	Professional		$60.26	$79.43	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $144.54 / $208.93	Facility		$60.26	$144.54	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $107.15 / $208.93	Professional		$47.86	$107.15	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $97.72 / $186.21	Facility		$81.28	$97.72	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $151.36	Professional		$38.02	$67.61	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $91.20 / $109.65	Facility		$45.71	$91.20	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $74.13 / $128.82	Professional		$38.02	$74.13	$128.82