Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $66.07 / $102.33	Professional		$61.66	$66.07	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $114.82	Professional		$93.33	$109.65	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $147.91	Professional		$117.49	$117.49	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $114.82 / $478.63	Facility		$66.07	$114.82	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $114.82	Professional		$45.71	$60.26	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $44.67 / $58.88	Facility		$5.89	$44.67	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $77.62 / $117.49	Professional		$36.31	$77.62	$117.49