Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.07 / $88.04 / $128.47	Professional		$43.07	$88.04	$128.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $139.99 / $253.10	Facility		$38.75	$139.99	$253.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.89 / $129.18 / $176.01	Professional		$96.89	$129.18	$176.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $74.93 / $103.71	Professional		$74.93	$74.93	$103.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $105.03 / $689.27	Facility		$40.18	$105.03	$689.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $62.23 / $98.52	Professional		$49.10	$62.23	$98.52
United Facility/Professional Facility Modifier Low / Median / High Price $43.15 / $56.58 / $97.64	Facility		$43.15	$56.58	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $62.23 / $93.74	Professional		$49.10	$62.23	$93.74