Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $141.25 / $269.15	Facility		$58.88	$141.25	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $213.80	Professional		$42.66	$58.88	$213.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $363.08 / $380.19	Facility		$239.88	$363.08	$380.19
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 $53.70 / $120.23 / $363.08	Facility		$53.70	$120.23	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $128.82	Professional		$34.67	$61.66	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $131.83	Facility		$52.48	$85.11	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $53.70 / $323.59	Professional		$27.54	$53.70	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $66.07 / $77.62	Facility		$37.15	$66.07	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $89.13	Professional		$27.54	$38.90	$89.13