Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.06 / $209.46 / $314.19	Facility		$112.06	$209.46	$314.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $126.99 / $241.04	Professional		$115.20	$126.99	$241.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $359.98 / $572.86	Facility		$87.56	$359.98	$572.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $101.59 / $666.23	Professional		$69.84	$101.59	$666.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $104.73 / $104.73	Facility		$98.80	$104.73	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.74 / $133.68 / $165.09	Facility		$102.74	$133.68	$165.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.95 / $104.95 / $104.95	Professional		$104.95	$104.95	$104.95
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73