Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.60 / $252.56 / $390.25	Facility		$127.60	$252.56	$390.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.67 / $106.33 / $130.78	Professional		$91.67	$106.33	$130.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.07 / $154.07 / $154.07	Professional		$154.07	$154.07	$154.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.38 / $200.19 / $277.39	Facility		$99.38	$200.19	$277.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $116.63 / $232.84	Professional		$64.11	$116.63	$232.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $122.22 / $176.55	Facility		$81.28	$122.22	$176.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $90.53 / $611.10	Professional		$51.33	$90.53	$611.10
United Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $122.22 / $152.78	Facility		$122.22	$122.22	$152.78
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $73.33 / $183.33	Professional		$51.33	$73.33	$183.33