Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.53 / $96.53 / $96.53	Facility		$96.53	$96.53	$96.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.51 / $66.38 / $96.53	Professional		$62.51	$66.38	$96.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.99 / $139.65 / $148.12	Facility		$127.99	$139.65	$148.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.61 / $138.61 / $138.61	Professional		$138.61	$138.61	$138.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Facility		$56.50	$56.50	$56.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $56.50 / $171.09	Professional		$41.25	$56.50	$171.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $96.53 / $638.99	Facility		$59.84	$96.53	$638.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $81.22 / $199.95	Professional		$52.11	$81.22	$199.95
United Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $74.95 / $116.74	Professional		$52.11	$74.95	$116.74