Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $92.62 / $204.00	Professional		$68.61	$92.62	$204.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.34 / $15.43 / $15.43	Professional		$13.34	$15.43	$15.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $181.84	Facility		$114.47	$114.47	$181.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $202.50	Professional		$97.30	$114.47	$202.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.15 / $167.40 / $821.01	Facility		$71.15	$167.40	$821.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $116.21 / $166.01	Professional		$72.56	$116.21	$166.01
United Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $116.21 / $158.10	Professional		$72.56	$116.21	$158.10