Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.64 / $165.64 / $165.64	Facility		$165.64	$165.64	$165.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $108.52 / $165.64	Professional		$64.42	$108.52	$165.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.09 / $135.88 / $144.53	Facility		$129.09	$135.88	$144.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $145.38 / $145.38	Professional		$145.38	$145.38	$145.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.94 / $142.94 / $142.94	Facility		$142.94	$142.94	$142.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.35 / $142.94 / $353.44	Professional		$104.35	$142.94	$353.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $161.19 / $1,059.51	Facility		$64.42	$161.19	$1,059.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $99.79 / $255.53	Professional		$66.53	$99.79	$255.53
United Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $99.79 / $133.65	Professional		$66.53	$99.79	$133.65