Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $208.93 / $288.40	Facility		$102.33	$208.93	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $95.50	Professional		$63.10	$83.18	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $218.78 / $234.42	Facility		$147.91	$218.78	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $173.78 / $446.68	Facility		$63.10	$173.78	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $112.20 / $162.18	Professional		$44.67	$112.20	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $165.96	Facility		$69.18	$69.18	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $151.36	Professional		$39.81	$66.07	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $95.50 / $112.20	Facility		$46.77	$95.50	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $66.07 / $123.03	Professional		$39.81	$66.07	$123.03