Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $122.22 / $293.33	Facility		$91.67	$122.22	$293.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.44 / $91.67 / $208.38	Professional		$90.44	$91.67	$208.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $387.73 / $525.79 / $761.61	Facility		$387.73	$525.79	$761.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $116.11 / $116.11	Professional		$116.11	$116.11	$116.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.44 / $79.44 / $326.50	Facility		$79.44	$79.44	$326.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.47 / $123.23 / $242.00	Professional		$54.47	$123.23	$242.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.67 / $171.11 / $241.41	Facility		$91.67	$171.11	$241.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $70.03 / $183.33	Professional		$51.33	$70.03	$183.33
United Facility/Professional Facility Modifier Low / Median / High Price $92.21 / $152.78 / $173.25	Facility		$92.21	$152.78	$173.25
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $58.79 / $100.04	Professional		$51.33	$58.79	$100.04