Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.50 / $125.85 / $612.09	Facility	26	$107.50	$125.85	$612.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $305.99 / $491.51	Professional		$250.00	$305.99	$491.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.25 / $292.60 / $401.78	Professional		$110.25	$292.60	$401.78
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.79 / $111.79 / $165.48	Facility	26	$111.79	$111.79	$165.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.63 / $366.23 / $567.66	Professional		$240.63	$366.23	$567.66
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $800.32 / $1,031.35 / $1,031.35	Facility	26	$800.32	$1,031.35	$1,031.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $390.20 / $3,148.28	Professional		$276.39	$390.20	$3,148.28
United Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $330.12 / $623.03	Professional		$282.89	$330.12	$623.03