Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.86 / $72.86 / $72.86	Facility		$72.86	$72.86	$72.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $47.74 / $72.86	Professional		$28.34	$47.74	$72.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $64.31 / $68.42	Facility		$61.10	$64.31	$68.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.54 / $67.54 / $67.54	Professional		$67.54	$67.54	$67.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Facility		$65.90	$65.90	$65.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.11 / $65.90 / $142.50	Professional		$48.11	$65.90	$142.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $70.92 / $473.76	Facility		$28.34	$70.92	$473.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $43.90 / $112.42	Professional		$29.26	$43.90	$112.42
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $43.90 / $58.79	Professional		$29.26	$43.90	$58.79