Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.72 / $98.72 / $98.72	Facility		$98.72	$98.72	$98.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $90.64 / $98.72	Professional		$89.75	$90.64	$98.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.91 / $136.82 / $338.35	Facility		$57.91	$136.82	$338.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $72.39 / $171.03	Professional		$58.82	$72.39	$171.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Facility		$89.75	$89.75	$89.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.42 / $96.50 / $191.81	Facility		$80.42	$96.50	$191.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.41 / $82.41 / $178.83	Professional		$82.41	$82.41	$178.83
United Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $89.75 / $89.75	Professional		$89.75	$89.75	$89.75