Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $125.89	Professional		$57.54	$79.43	$125.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $97.72	Facility		$87.10	$91.20	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $151.36	Professional		$38.02	$38.02	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $104.71 / $257.04	Facility		$28.84	$104.71	$257.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $891.25	Professional		$63.10	$104.71	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $104.71 / $138.04	Facility		$77.62	$104.71	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $173.78	Professional		$70.79	$104.71	$173.78