Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.59 / $163.59 / $163.59	Facility		$163.59	$163.59	$163.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $107.18 / $163.59	Professional		$56.78	$107.18	$163.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $76.84 / $81.73	Facility		$73.00	$76.84	$81.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.69 / $84.69 / $84.69	Professional		$84.69	$84.69	$84.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.16 / $110.16 / $110.16	Facility		$110.16	$110.16	$110.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $110.16 / $255.47	Professional		$80.42	$110.16	$255.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $159.22 / $918.20	Facility		$56.78	$159.22	$918.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $98.56 / $252.40	Professional		$58.64	$98.56	$252.40
United Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $95.48 / $132.00	Professional		$58.64	$95.48	$132.00