Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.05 / $218.81 / $615.59	Facility		$56.05	$218.81	$615.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $125.83 / $172.71	Professional		$123.35	$125.83	$172.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.06 / $158.33 / $171.22	Facility		$92.06	$158.33	$171.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $133.35 / $133.35	Professional		$133.35	$133.35	$133.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $116.38 / $123.36	Facility		$116.38	$116.38	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.97 / $148.96 / $190.56	Facility		$109.97	$148.96	$190.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.97 / $135.97 / $143.26	Professional		$135.97	$135.97	$143.26
United Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $139.34	Professional		$123.36	$123.36	$139.34