Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.50 / $121.50 / $241.79	Facility		$121.50	$121.50	$241.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $121.50 / $121.50	Professional		$121.50	$121.50	$121.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $193.51 / $306.88	Facility		$122.70	$193.51	$306.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.50 / $131.56 / $1,457.50	Facility		$121.50	$131.56	$1,457.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00
United Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00