Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.77 / $188.45 / $466.04	Facility		$79.77	$188.45	$466.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.04 / $265.89 / $628.17	Professional		$216.04	$265.89	$628.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $98.27 / $98.27	Professional		$98.27	$98.27	$98.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $82.50 / $152.25	Facility		$75.00	$82.50	$152.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $188.44	Professional		$75.00	$75.00	$188.44