Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $112.20	Professional		$104.71	$109.65	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $158.49 / $389.05	Facility		$95.50	$158.49	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $257.04	Professional		$112.20	$162.18	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $112.20 / $229.09	Facility		$107.15	$112.20	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83