Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $53.24 / $53.24	Facility		$53.24	$53.24	$53.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $87.62 / $138.81	Facility		$23.07	$87.62	$138.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $26.52 / $175.73	Professional		$18.23	$26.52	$175.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Facility		$26.62	$26.62	$26.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $33.04 / $75.00	Facility		$27.31	$33.04	$75.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $27.31 / $27.31	Professional		$27.31	$27.31	$27.31
United Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $26.62 / $26.62	Professional		$26.62	$26.62	$26.62