Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.86 / $37.86 / $37.86	Facility		$37.86	$37.86	$37.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $24.81 / $37.86	Professional		$13.23	$24.81	$37.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $28.60 / $30.35	Facility		$26.22	$28.60	$30.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.40 / $28.40 / $28.40	Professional		$28.40	$28.40	$28.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $27.10 / $27.10	Facility		$27.10	$27.10	$27.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.78 / $27.10 / $66.56	Professional		$19.78	$27.10	$66.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $36.86 / $214.06	Facility		$13.23	$36.86	$214.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $22.81 / $58.43	Professional		$13.66	$22.81	$58.43
United Facility/Professional Professional Modifier Low / Median / High Price $13.87 / $22.75 / $30.56	Professional		$13.87	$22.75	$30.56