Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $113.35 / $192.70	Facility		$104.95	$113.35	$192.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.11 / $113.11 / $113.11	Professional		$113.11	$113.11	$113.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.35 / $96.76 / $153.44	Facility		$61.35	$96.76	$153.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $98.80 / $104.73	Facility		$98.80	$98.80	$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 $92.05 / $113.35 / $162.09	Facility		$92.05	$113.35	$162.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $104.95 / $104.95	Professional		$100.50	$104.95	$104.95
United Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $106.82	Professional		$104.73	$104.73	$106.82