Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $99.75 / $99.75	Facility		$99.75	$99.75	$99.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $65.36 / $99.75	Professional		$34.83	$65.36	$99.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.05 / $114.63 / $121.57	Facility		$105.05	$114.63	$121.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $113.77 / $113.77	Professional		$113.77	$113.77	$113.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $67.56	Facility		$67.56	$67.56	$67.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $67.56 / $175.31	Professional		$49.33	$67.56	$175.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $97.08 / $563.71	Facility		$34.83	$97.08	$563.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $60.10 / $153.90	Professional		$35.97	$60.10	$153.90
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $60.10 / $80.48	Professional		$40.06	$60.10	$80.48