Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.45 / $112.45 / $206.06	Facility		$112.45	$112.45	$206.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.45 / $113.57 / $138.52	Professional		$112.45	$113.57	$138.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $122.61 / $124.18	Facility		$122.00	$122.61	$124.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $122.43 / $123.53	Professional		$103.70	$122.43	$123.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.13 / $131.13 / $163.92	Professional		$131.13	$131.13	$163.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $131.41 / $369.66	Facility		$114.48	$131.41	$369.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $114.48 / $128.71	Professional		$114.48	$114.48	$128.71
United Facility/Professional Professional Modifier Low / Median / High Price $95.58 / $112.45 / $122.13	Professional		$95.58	$112.45	$122.13