Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $22.73 / $22.73	Facility		$22.73	$22.73	$22.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $15.63 / $22.73	Professional		$14.60	$15.63	$22.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $27.58 / $29.26	Facility		$25.28	$27.58	$29.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $27.38 / $27.38	Professional		$27.38	$27.38	$27.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $28.58 / $28.58	Facility		$28.58	$28.58	$28.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $28.58 / $40.31	Professional		$20.86	$28.58	$40.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $22.73 / $150.43	Facility		$14.10	$22.73	$150.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $19.12 / $47.19	Professional		$12.27	$19.12	$47.19
United Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $17.64 / $27.48	Professional		$12.27	$17.64	$27.48