Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.13 / $147.13 / $147.13	Facility		$147.13	$147.13	$147.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.17 / $108.00 / $147.13	Professional		$73.17	$108.00	$147.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.65 / $195.65 / $195.65	Professional		$195.65	$195.65	$195.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.45 / $98.45 / $98.45	Facility		$98.45	$98.45	$98.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.45 / $98.45 / $232.50	Professional		$98.45	$98.45	$232.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $99.78 / $128.22 / $752.92	Facility		$99.78	$128.22	$752.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $93.13 / $133.04	Professional		$53.22	$93.13	$133.04
United Facility/Professional Facility Modifier Low / Median / High Price $9.31 / $69.84 / $125.06	Facility		$9.31	$69.84	$125.06
United Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $93.13 / $133.04	Professional		$59.87	$93.13	$133.04