Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $147.91 / $489.78	Facility		$117.49	$147.91	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $173.78 / $316.23	Facility		$66.07	$173.78	$316.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $141.25	Professional		$69.18	$91.20	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $91.20	Facility		$81.28	$81.28	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $89.13 / $151.36	Facility		$81.28	$89.13	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $338.84	Professional		$81.28	$81.28	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $125.89	Facility		$81.28	$81.28	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $91.20	Professional		$75.86	$81.28	$91.20