Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $125.89 / $208.93	Professional		$93.33	$125.89	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $263.03	Professional		$120.23	$120.23	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $812.83	Facility		$114.82	$165.96	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $346.74	Professional		$70.79	$138.04	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $213.80 / $245.47	Facility		$138.04	$213.80	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $117.49 / $158.49	Professional		$70.79	$117.49	$158.49