Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.45 / $115.45 / $115.45	Facility		$115.45	$115.45	$115.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $80.38 / $128.60	Professional		$49.45	$80.38	$128.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.98 / $204.19 / $217.20	Facility		$193.98	$204.19	$217.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.28 / $184.28 / $184.28	Professional		$184.28	$184.28	$184.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $99.32 / $222.66	Professional		$72.50	$99.32	$222.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.45 / $122.38 / $799.68	Facility		$49.45	$122.38	$799.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $87.91 / $196.16	Professional		$51.07	$87.91	$196.16
United Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $76.59 / $118.04	Professional		$51.07	$76.59	$118.04