Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.06 / $2,760.73 / $3,916.51	Facility		$107.06	$2,760.73	$3,916.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $107.06 / $110.13	Professional		$107.06	$107.06	$110.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $193.51 / $306.88	Facility		$122.70	$193.51	$306.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $99.13	Facility		$93.52	$93.52	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $117.60 / $417.50	Facility		$103.71	$117.60	$417.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.71 / $109.93 / $115.45	Professional		$103.71	$109.93	$115.45
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $110.35	Professional		$99.13	$99.13	$110.35