Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $169.82 / $316.23	Facility		$128.82	$169.82	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $64.57	Professional		$41.69	$47.86	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $107.15 / $208.93	Facility		$83.18	$107.15	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $104.71	Professional		$51.29	$97.72	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $154.88	Professional		$74.13	$123.03	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $75.86 / $302.00	Facility		$22.91	$75.86	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $70.79	Professional		$26.92	$38.90	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $57.54 / $95.50	Facility		$28.84	$57.54	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $70.79	Professional		$36.31	$38.90	$70.79