Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.32 / $196.32 / $196.32	Facility		$196.32	$196.32	$196.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $98.16 / $155.97	Professional		$65.20	$98.16	$155.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.50 / $132.21 / $467.05	Facility		$48.50	$132.21	$467.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $80.81 / $624.40	Professional		$55.56	$80.81	$624.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $98.16 / $140.37	Facility		$83.49	$98.16	$140.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.90 / $88.03 / $94.85	Professional		$82.90	$88.03	$94.85
United Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $103.33 / $103.48	Professional		$97.44	$103.33	$103.48