Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.61 / $142.26 / $8,500.00	Facility		$107.61	$142.26	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $119.01 / $192.01	Professional		$100.90	$119.01	$192.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.47 / $296.98 / $418.48	Professional		$229.47	$296.98	$418.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $286.08 / $520.04	Professional		$142.63	$286.08	$520.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.61 / $164.42 / $322.83	Facility		$107.61	$164.42	$322.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.33 / $225.60 / $371.17	Professional		$130.33	$225.60	$371.17
United Facility/Professional Facility Modifier Low / Median / High Price $5,025.00 / $5,025.00 / $5,025.00	Facility		$5,025.00	$5,025.00	$5,025.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $308.41 / $371.17	Professional		$146.16	$308.41	$371.17