Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.01 / $162.01 / $162.01	Facility		$162.01	$162.01	$162.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.18 / $78.20 / $162.01	Professional		$40.18	$78.20	$162.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.78 / $116.50 / $123.57	Facility		$106.78	$116.50	$123.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.63 / $115.63 / $115.63	Professional		$115.63	$115.63	$115.63
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 / $88.15 / $212.81	Professional		$74.93	$88.15	$212.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $126.55 / $689.27	Facility		$40.18	$126.55	$689.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $73.20 / $187.48	Professional		$41.48	$73.20	$187.48
United Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $74.02 / $103.71	Facility		$47.95	$74.02	$103.71
United Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $73.20 / $103.71	Professional		$41.48	$73.20	$103.71