Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $436.52	Professional		$79.43	$107.15	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $131.83 / $275.42	Facility		$57.54	$131.83	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $416.87	Professional		$165.96	$218.78	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $158.49 / $954.99	Facility		$57.54	$158.49	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $89.13 / $1,148.15	Professional		$69.18	$89.13	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $120.23 / $190.55	Facility		$67.61	$120.23	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $89.13 / $134.90	Professional		$75.86	$89.13	$134.90