Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.32 / $208.08 / $312.12	Facility		$111.32	$208.08	$312.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $84.27 / $101.12	Professional		$84.27	$84.27	$101.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.47 / $309.35 / $490.11	Facility		$81.47	$309.35	$490.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $83.23 / $551.52	Professional		$57.22	$83.23	$551.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Facility		$88.43	$88.43	$88.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.43 / $88.43 / $88.43	Professional		$88.43	$88.43	$88.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.27 / $108.38 / $136.56	Facility		$84.27	$108.38	$136.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $86.70	Professional		$86.70	$86.70	$86.70
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $86.70	Professional		$86.70	$86.70	$86.70