Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.00 / $21.00	Facility		$21.00	$21.00	$21.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.79 / $26.25	Professional		$21.00	$21.79	$26.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $22.39 / $22.71	Professional		$18.96	$22.39	$22.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $240.75 / $432.12	Professional		$174.33	$240.75	$432.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $27.30 / $307.62	Facility		$21.00	$27.30	$307.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $158.90 / $1,375.72	Professional		$113.77	$158.90	$1,375.72
United Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $125.78 / $228.81	Professional		$84.42	$125.78	$228.81