Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.70 / $114.70 / $228.25	Facility		$114.70	$114.70	$228.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.70 / $114.70 / $114.70	Professional		$114.70	$114.70	$114.70
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 $120.36 / $120.36 / $120.36	Facility		$120.36	$120.36	$120.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $120.36 / $120.36	Professional		$120.36	$120.36	$120.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.42 / $126.17 / $164.02	Facility		$97.42	$126.17	$164.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $118.00 / $118.00	Professional		$118.00	$118.00	$118.00