Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $186.21	Facility		$104.71	$104.71	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $144.54	Professional		$104.71	$104.71	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $114.82	Facility		$112.20	$112.20	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $112.20 / $125.89	Professional		$85.11	$112.20	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $134.90	Professional		$104.71	$107.15	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $141.25 / $346.74	Facility		$109.65	$141.25	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $123.03 / $436.52	Professional		$109.65	$123.03	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $128.82	Professional		$104.71	$109.65	$128.82