Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $416.87 / $645.65	Facility		$162.18	$416.87	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $331.13	Professional		$91.20	$114.82	$331.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $245.47 / $363.08	Facility		$75.86	$245.47	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $229.09	Professional		$104.71	$114.82	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $95.50 / $436.52	Facility		$48.98	$95.50	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $165.96 / $208.93	Professional		$91.20	$165.96	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $128.82 / $645.65	Facility		$100.00	$128.82	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $97.72	Professional		$40.74	$57.54	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $134.90 / $162.18	Facility		$67.61	$134.90	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $97.72	Professional		$40.74	$57.54	$97.72