Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.99 / $122.99 / $122.99	Facility		$122.99	$122.99	$122.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.55 / $122.99 / $157.81	Professional		$104.55	$122.99	$157.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.00 / $1.00	Facility		$0.95	$1.00	$1.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $17.62 / $24.88	Professional		$9.43	$17.62	$24.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.58 / $200.58 / $200.58	Facility		$200.58	$200.58	$200.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.99 / $617.16 / $755.60	Facility		$122.99	$617.16	$755.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $676.39	Professional		$342.87	$342.87	$676.39
United Facility/Professional Professional Modifier Low / Median / High Price $342.87 / $342.87 / $621.54	Professional		$342.87	$342.87	$621.54