Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $165.96 / $165.96	Facility		$23.99	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $23.99	Professional		$15.14	$18.20	$23.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.20 / $33.88	Facility		$26.92	$30.20	$33.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $33.88	Professional		$19.50	$25.70	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $48.98	Professional		$19.05	$25.12	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.99 / $44.67	Facility		$16.22	$23.99	$44.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.92 / $154.88	Professional		$18.20	$26.92	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $31.62 / $69.18	Facility		$12.59	$31.62	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $42.66	Professional		$17.78	$22.39	$42.66