Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.17 / $57.60 / $115.13	Facility		$57.17	$57.60	$115.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.75 / $128.86 / $328.07	Professional		$97.75	$128.86	$328.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.62 / $398.12 / $670.58	Facility		$107.62	$398.12	$670.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.21 / $119.58 / $652.77	Professional		$82.21	$119.58	$652.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Facility		$115.07	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $112.51 / $143.96	Facility		$100.67	$112.51	$143.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.67 / $118.43 / $118.58	Professional		$111.67	$118.43	$118.58
United Facility/Professional Professional Modifier Low / Median / High Price $111.67 / $123.14 / $123.29	Professional		$111.67	$123.14	$123.29