Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $109.60 / $186.32	Facility		$101.49	$109.60	$186.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.17 / $111.17 / $111.17	Professional		$111.17	$111.17	$111.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $193.51 / $306.88	Facility		$122.70	$193.51	$306.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.11 / $97.11 / $102.94	Facility		$97.11	$97.11	$102.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $115.08 / $192.00	Facility		$101.49	$115.08	$192.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.49 / $101.49 / $110.68	Professional		$101.49	$101.49	$110.68
United Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $102.93 / $102.93	Facility		$102.93	$102.93	$102.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $102.94	Professional		$102.94	$102.94	$102.94