Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $112.89 / $135.90	Facility		$99.60	$112.89	$135.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.53 / $112.89 / $150.16	Professional		$86.53	$112.89	$150.16
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.72 / $128.72 / $128.72	Professional	25	$128.72	$128.72	$128.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.77 / $176.20 / $176.20	Professional		$149.77	$176.20	$176.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $171.00 / $342.88	Professional		$112.58	$171.00	$342.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.80 / $163.85 / $423.00	Facility		$120.80	$163.85	$423.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $127.78 / $189.96	Professional		$104.16	$127.78	$189.96
United Facility/Professional Professional Modifier Low / Median / High Price $99.82 / $125.14 / $189.96	Professional		$99.82	$125.14	$189.96