Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $316.23	Facility		$154.88	$154.88	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $186.21 / $630.96	Professional		$83.18	$186.21	$630.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.07 / $3.47 / $5.13	Facility		$1.07	$3.47	$5.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.58 / $3.16	Professional		$1.48	$1.58	$3.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $158.49 / $489.78	Facility		$27.54	$158.49	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $147.91	Professional		$120.23	$120.23	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $186.21 / $194.98	Facility		$151.36	$186.21	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $239.88	Professional		$83.18	$83.18	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $190.55	Facility		$97.72	$134.90	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88