Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $100.00 / $190.55	Facility		$77.62	$100.00	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $57.54 / $147.91	Professional		$53.70	$57.54	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $154.88 / $234.42	Facility		$48.98	$154.88	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $251.19	Professional		$52.48	$104.71	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $75.86 / $87.10	Facility		$57.54	$75.86	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $93.33	Facility		$54.95	$54.95	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $56.23	Professional		$54.95	$54.95	$56.23