Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.57 / $106.03 / $163.83	Facility		$53.57	$106.03	$163.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $44.64 / $54.90	Professional		$38.47	$44.64	$54.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.01 / $165.86 / $248.79	Facility		$156.01	$165.86	$248.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.38 / $114.38 / $114.38	Professional		$114.38	$114.38	$114.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $96.58 / $293.13	Facility		$41.72	$96.58	$293.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.48 / $84.23 / $105.27	Professional		$31.48	$84.23	$105.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $66.59 / $93.89	Facility		$42.07	$66.59	$93.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $43.33 / $285.62	Professional		$21.55	$43.33	$285.62
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $41.90 / $104.97	Professional		$21.55	$41.90	$104.97