Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.10 / $110.10 / $110.10	Facility		$110.10	$110.10	$110.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $72.13 / $110.10	Professional		$42.49	$72.13	$110.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.04 / $69.87 / $74.12	Facility		$64.04	$69.87	$74.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.36 / $69.36 / $69.36	Professional		$69.36	$69.36	$69.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.32 / $103.32 / $103.32	Facility		$103.32	$103.32	$103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $103.32 / $231.56	Professional		$75.42	$103.32	$231.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $107.14 / $709.25	Facility		$42.49	$107.14	$709.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $66.33 / $169.83	Professional		$43.88	$66.33	$169.83
United Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $66.33 / $88.82	Professional		$43.88	$66.33	$88.82