Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $165.96 / $234.42	Facility		$107.15	$165.96	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $100.00	Professional		$63.10	$75.86	$100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $275.42 / $549.54	Facility		$114.82	$275.42	$549.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $208.93	Professional		$100.00	$131.83	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $100.00	Professional		$50.12	$54.95	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $117.49	Facility		$66.07	$77.62	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $97.72	Professional		$39.81	$53.70	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $87.10	Professional		$39.81	$50.12	$87.10