Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $151.36 / $389.05	Facility		$131.83	$151.36	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $162.18	Professional		$81.28	$81.28	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $138.04 / $257.04	Facility		$54.95	$138.04	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $141.25	Professional		$67.61	$89.13	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $186.21	Facility		$81.28	$81.28	$186.21
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 $72.44 / $91.20 / $346.74	Facility		$72.44	$91.20	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $1,778.28	Professional		$72.44	$72.44	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $67.61 / $97.72	Facility		$58.88	$67.61	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $91.20	Professional		$58.88	$81.28	$91.20