Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.45 / $85.45 / $85.45	Facility		$85.45	$85.45	$85.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.45 / $126.17 / $126.17	Professional		$85.45	$126.17	$126.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.82 / $129.85 / $133.08	Professional		$109.82	$129.85	$133.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.75 / $176.50 / $221.93	Professional		$174.75	$176.50	$221.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $107.09 / $629.92	Facility		$56.70	$107.09	$629.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.79 / $87.89 / $97.66	Professional		$46.79	$87.89	$97.66
United Facility/Professional Facility Modifier Low / Median / High Price $187.92 / $187.92 / $187.92	Facility		$187.92	$187.92	$187.92
United Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $87.89 / $97.66	Professional		$39.06	$87.89	$97.66