Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.09 / $112.08 / $414.69	Facility		$41.09	$112.08	$414.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $89.66 / $112.08	Professional		$89.66	$89.66	$112.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $204.37 / $362.36	Facility		$154.00	$204.37	$362.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $119.38 / $119.38	Professional		$119.38	$119.38	$119.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Facility		$95.27	$95.27	$95.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.27 / $95.27 / $95.27	Professional		$95.27	$95.27	$95.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $112.08 / $133.76	Facility		$89.66	$112.08	$133.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $425.90	Professional		$100.00	$100.00	$425.90
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $112.08	Professional		$100.00	$100.00	$112.08