Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $158.49	Professional		$81.28	$107.15	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $162.18 / $169.82	Facility		$154.88	$162.18	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
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 / $263.03	Professional		$81.28	$81.28	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $144.54 / $467.74	Facility		$57.54	$144.54	$467.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $1,148.15	Professional		$60.26	$97.72	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $158.49 / $158.49	Facility		$75.86	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $97.72 / $131.83	Professional		$66.07	$97.72	$131.83