Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $57.54	Professional		$54.95	$57.54	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $83.18 / $204.17	Facility		$50.12	$83.18	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $134.90	Professional		$58.88	$83.18	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $61.66 / $117.49	Facility		$56.23	$61.66	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $83.18	Professional		$69.18	$69.18	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $114.82 / $114.82	Facility		$69.18	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18