Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.79 / $167.84 / $251.76	Facility		$89.79	$167.84	$251.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $81.58 / $151.63	Professional		$67.98	$81.58	$151.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $232.65 / $637.25	Facility		$67.14	$232.65	$637.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $67.14 / $296.86	Professional		$44.80	$67.14	$296.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Facility		$47.60	$47.60	$47.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $47.60	Professional		$47.60	$47.60	$47.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.78 / $97.21 / $412.30	Facility		$74.78	$97.21	$412.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $69.93	Professional		$69.93	$69.93	$69.93
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67