Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.18 / $147.18 / $147.18	Facility		$147.18	$147.18	$147.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.04 / $102.47 / $163.94	Professional		$63.04	$102.47	$163.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.02 / $96.03 / $101.86	Facility		$88.02	$96.03	$101.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.32 / $95.32 / $95.32	Professional		$95.32	$95.32	$95.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $283.58	Professional		$89.29	$122.31	$283.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.04 / $156.01 / $1,037.98	Facility		$63.04	$156.01	$1,037.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $112.07 / $250.07	Professional		$65.09	$112.07	$250.07
United Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $97.65 / $150.47	Professional		$65.09	$97.65	$150.47