Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.80 / $84.80 / $84.80	Facility		$84.80	$84.80	$84.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.76 / $70.76 / $84.80	Professional		$70.76	$70.76	$84.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.63 / $127.12 / $129.32	Professional		$108.63	$127.12	$129.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $133.69 / $168.12	Professional		$132.38	$133.69	$168.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.76 / $104.50 / $530.95	Facility		$70.76	$104.50	$530.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.69 / $70.34 / $105.51	Professional		$48.69	$70.34	$105.51
United Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $70.34 / $105.51	Professional		$36.93	$70.34	$105.51