Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $144.54 / $363.08	Facility		$87.10	$144.54	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $398.11 / $645.65	Professional		$275.42	$398.11	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $42.66 / $100.00	Facility		$39.81	$42.66	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $109.65	Professional		$39.81	$39.81	$109.65