Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $147.91 / $263.03	Facility		$125.89	$147.91	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $141.25	Professional		$125.89	$125.89	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $173.78 / $173.78	Facility		$165.96	$173.78	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $125.89 / $173.78	Facility		$109.65	$125.89	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $177.83	Professional		$147.91	$162.18	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $177.83	Professional		$147.91	$147.91	$177.83