Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $271.20 / $384.00	Facility		$222.44	$271.20	$384.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $196.50 / $363.20	Professional		$97.50	$196.50	$363.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $62.82 / $104.68	Facility		$16.00	$62.82	$104.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $16.00 / $18.20	Professional		$13.20	$16.00	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.95 / $643.95 / $643.95	Facility		$643.95	$643.95	$643.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $302.08	Facility		$100.00	$100.00	$302.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $141.69 / $3,335.23	Professional		$84.50	$141.69	$3,335.23