Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.86 / $166.86 / $166.86	Facility		$166.86	$166.86	$166.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $84.55 / $166.86	Professional		$67.94	$84.55	$166.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $204.37 / $362.36	Facility		$154.00	$204.37	$362.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.97 / $166.86 / $348.56	Facility		$87.97	$166.86	$348.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $1,015.51	Professional		$259.31	$259.31	$1,015.51
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $348.56	Professional		$259.31	$259.31	$348.56