Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $263.03	Professional		$53.70	$64.57	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $95.50 / $199.53	Facility		$40.74	$95.50	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $302.00	Professional		$120.23	$158.49	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $74.13	Professional		$53.70	$53.70	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $104.71 / $616.60	Facility		$38.02	$104.71	$616.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $776.25	Professional		$45.71	$58.88	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $125.89	Facility		$43.65	$77.62	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $89.13	Professional		$50.12	$58.88	$89.13