Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $68.63 / $97.50	Facility		$68.63	$68.63	$97.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $75.84 / $99.65	Professional		$58.14	$75.84	$99.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.10 / $176.14 / $250.34	Professional		$136.10	$176.14	$250.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $173.43 / $263.72	Professional		$98.75	$173.43	$263.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $97.50 / $171.97	Facility		$68.63	$97.50	$171.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.77 / $185.03 / $502.32	Professional		$101.77	$185.03	$502.32
United Facility/Professional Professional Modifier Low / Median / High Price $101.77 / $177.37 / $210.43	Professional		$101.77	$177.37	$210.43