Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $85.50 / $85.50	Facility		$85.50	$85.50	$85.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $85.02 / $85.50	Professional		$85.02	$85.02	$85.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $129.91 / $133.13	Professional		$109.87	$129.91	$133.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.75 / $143.16 / $180.02	Professional		$141.75	$143.16	$180.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.34 / $85.50 / $621.04	Facility		$61.34	$85.50	$621.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $58.63 / $97.71	Professional		$46.82	$58.63	$97.71
United Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $68.40 / $139.46	Professional		$45.90	$68.40	$139.46