Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $169.82	Facility		$93.33	$93.33	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $131.83	Professional		$93.33	$93.33	$131.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $104.71	Facility		$102.33	$102.33	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $112.20	Professional		$77.62	$102.33	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $125.89	Facility		$109.65	$109.65	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $120.23	Professional		$93.33	$95.50	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $95.50 / $165.96	Facility		$83.18	$95.50	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $112.20	Professional		$91.20	$102.33	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $112.20	Professional		$93.33	$93.33	$112.20