Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $264.00 / $264.00	Facility		$264.00	$264.00	$264.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.45 / $429.48 / $449.60	Professional		$387.45	$429.48	$449.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.20 / $407.20 / $1,318.82	Facility		$407.20	$407.20	$1,318.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.67 / $407.20 / $473.37	Professional		$320.67	$407.20	$473.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.76 / $88.76 / $88.76	Professional		$88.76	$88.76	$88.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $406.02 / $429.48 / $615.50	Facility		$406.02	$429.48	$615.50