Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.65 / $495.25 / $673.00	Facility		$99.65	$495.25	$673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $116.83 / $166.08	Professional		$114.54	$116.83	$166.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.65 / $168.05 / $295.08	Facility		$159.65	$168.05	$295.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $123.81 / $123.81	Professional		$123.81	$123.81	$123.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.05 / $108.05 / $114.54	Facility		$108.05	$108.05	$114.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $114.54	Professional		$114.54	$114.54	$114.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.70 / $143.40 / $495.25	Facility		$97.70	$143.40	$495.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.70 / $97.70 / $156.32	Professional		$97.70	$97.70	$156.32
United Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $114.54 / $183.26	Professional		$114.54	$114.54	$183.26