Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $64.80	Facility		$64.80	$64.80	$64.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.80 / $64.80 / $70.40	Professional		$64.80	$64.80	$70.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.62 / $207.62 / $254.34	Facility		$207.62	$207.62	$254.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.74 / $181.67 / $233.58	Professional		$142.74	$181.67	$233.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.45 / $89.45 / $89.45	Facility		$89.45	$89.45	$89.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $27.79	Professional		$27.79	$27.79	$27.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.80 / $64.80 / $84.24	Facility		$64.80	$64.80	$84.24