Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.27 / $122.27 / $122.27	Facility		$122.27	$122.27	$122.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $112.26 / $122.27	Professional		$111.15	$112.26	$122.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.06 / $633.29 / $1,566.16	Facility		$268.06	$633.29	$1,566.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.25 / $335.08 / $791.63	Professional		$272.25	$335.08	$791.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.10 / $157.61 / $363.79	Facility		$127.10	$157.61	$363.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $130.26 / $317.75	Professional		$130.26	$130.26	$317.75
United Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Professional		$111.15	$111.15	$111.15