Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.32 / $224.90 / $337.35	Facility		$120.32	$224.90	$337.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.57 / $154.41 / $708.80	Professional		$113.57	$154.41	$708.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $414.53 / $700.68	Facility		$104.58	$414.53	$700.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $110.82 / $715.32	Professional		$76.19	$110.82	$715.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Facility		$112.45	$112.45	$112.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.09 / $180.08 / $407.91	Facility		$123.09	$180.08	$407.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $114.48 / $114.48	Professional		$114.48	$114.48	$114.48
United Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $112.45 / $112.45	Professional		$112.45	$112.45	$112.45