Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $136.18 / $136.18	Facility		$136.18	$136.18	$136.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $126.28 / $136.18	Professional		$123.80	$126.28	$136.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.57 / $244.68 / $605.10	Facility		$103.57	$244.68	$605.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.18 / $129.46 / $305.83	Professional		$105.18	$129.46	$305.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $147.60 / $281.50	Facility		$123.00	$147.60	$281.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $126.06 / $273.55	Professional		$126.06	$126.06	$273.55
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Professional		$123.80	$123.80	$123.80