Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $218.78 / $794.33	Facility		$97.72	$218.78	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $109.65	Professional		$93.33	$95.50	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $117.49 / $117.49	Facility		$112.20	$117.49	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Facility		$89.13	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $93.33 / $131.83	Facility		$81.28	$93.33	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $107.15	Professional		$91.20	$93.33	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $97.72	Facility		$93.33	$93.33	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $112.20	Professional		$91.20	$93.33	$112.20