Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.00 / $102.00 / $102.00	Facility		$102.00	$102.00	$102.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $90.57 / $102.00	Professional		$49.74	$90.57	$102.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $175.60 / $434.26	Facility		$74.33	$175.60	$434.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.48 / $92.91 / $219.50	Professional		$75.48	$92.91	$219.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Facility		$93.13	$93.13	$93.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $93.13 / $93.13	Professional		$93.13	$93.13	$93.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.31 / $112.20 / $207.06	Facility		$88.31	$112.20	$207.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $111.34	Professional		$91.30	$91.30	$111.34
United Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $91.30 / $91.30	Professional		$91.30	$91.30	$91.30