Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.60 / $168.60 / $168.60	Facility		$168.60	$168.60	$168.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $139.94 / $168.60	Professional		$134.88	$139.94	$168.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.57 / $112.13 / $214.97	Facility		$0.57	$112.13	$214.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $143.31 / $143.31	Professional		$114.65	$143.31	$143.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.31 / $143.31 / $143.31	Professional		$143.31	$143.31	$143.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $168.60 / $168.60 / $284.93	Facility		$168.60	$168.60	$284.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $193.92	Professional		$140.50	$140.50	$193.92
United Facility/Professional Professional Modifier Low / Median / High Price $140.50 / $140.50 / $254.70	Professional		$140.50	$140.50	$254.70