Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $106.63	Facility		$106.63	$106.63	$106.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $69.86 / $106.63	Professional		$41.47	$69.86	$106.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $386.42 / $402.73 / $428.39	Facility		$386.42	$402.73	$428.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.59 / $382.59 / $382.59	Professional		$382.59	$382.59	$382.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $80.45 / $80.45	Facility		$80.45	$80.45	$80.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.73 / $80.45 / $186.56	Professional		$58.73	$80.45	$186.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.47 / $103.77 / $675.46	Facility		$41.47	$103.77	$675.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $64.23 / $164.49	Professional		$42.82	$64.23	$164.49
United Facility/Professional Professional Modifier Low / Median / High Price $42.82 / $64.23 / $86.03	Professional		$42.82	$64.23	$86.03