Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.23 / $104.04 / $104.04	Facility		$83.23	$104.04	$104.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.23 / $83.23 / $104.04	Professional		$83.23	$83.23	$104.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.56 / $102.28 / $107.66	Facility		$25.56	$102.28	$107.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $90.47 / $90.47	Professional		$90.47	$90.47	$90.47
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 $83.23 / $104.04 / $111.83	Facility		$83.23	$104.04	$111.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $101.96	Professional		$86.70	$86.70	$101.96
United Facility/Professional Professional Modifier Low / Median / High Price $86.70 / $86.70 / $104.04	Professional		$86.70	$86.70	$104.04