Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $173.78	Professional		$81.28	$114.82	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $169.82 / $181.97	Facility		$162.18	$169.82	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $295.12	Professional		$87.10	$87.10	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $151.36 / $512.86	Facility		$61.66	$151.36	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $1,122.02	Professional		$63.10	$104.71	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $165.96 / $165.96	Facility		$81.28	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $141.25	Professional		$69.18	$100.00	$141.25