Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $407.38	Professional		$87.10	$112.20	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $123.03 / $257.04	Facility		$53.70	$123.03	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $389.05	Professional		$158.49	$204.17	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $147.91	Professional		$109.65	$109.65	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $138.04 / $977.24	Facility		$60.26	$138.04	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $93.33 / $1,047.13	Professional		$72.44	$93.33	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $120.23 / $162.18	Facility		$58.88	$120.23	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $141.25	Professional		$79.43	$93.33	$141.25