Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.30 / $142.30 / $142.30	Facility		$142.30	$142.30	$142.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $93.23 / $142.30	Professional		$49.69	$93.23	$142.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $168.59 / $183.95 / $195.11	Facility		$168.59	$183.95	$195.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.58 / $182.58 / $182.58	Professional		$182.58	$182.58	$182.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.46 / $116.46 / $116.46	Facility		$116.46	$116.46	$116.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $116.46 / $250.31	Professional		$85.02	$116.46	$250.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $138.50 / $804.26	Facility		$49.69	$138.50	$804.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $85.73 / $219.54	Professional		$51.32	$85.73	$219.54
United Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $85.73 / $114.82	Professional		$52.12	$85.73	$114.82