Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $169.82	Facility		$93.33	$93.33	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $131.83	Professional		$93.33	$93.33	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $104.71	Professional		$75.86	$102.33	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $120.23	Professional		$95.50	$95.50	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $89.13 / $158.49	Facility		$20.89	$89.13	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $102.33	Professional		$91.20	$93.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $104.71	Professional		$79.43	$93.33	$104.71