Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.56 / $115.56 / $115.56	Facility		$115.56	$115.56	$115.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $75.70 / $115.56	Professional		$44.95	$75.70	$115.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $77.42 / $82.11	Facility		$70.95	$77.42	$82.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.84 / $76.84 / $76.84	Professional		$76.84	$76.84	$76.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $90.28 / $90.28	Facility		$90.28	$90.28	$90.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $90.28 / $202.03	Professional		$65.90	$90.28	$202.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.95 / $112.48 / $703.87	Facility		$44.95	$112.48	$703.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $69.62 / $178.30	Professional		$46.42	$69.62	$178.30
United Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $69.62 / $93.25	Professional		$46.42	$69.62	$93.25