Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $108.24 / $8,500.00	Facility		$18.37	$108.24	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $24.83 / $128.12	Professional		$13.72	$24.83	$128.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $145.63 / $256.79	Professional		$28.28	$145.63	$256.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $112.50 / $140.63	Professional		$15.00	$112.50	$140.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.37 / $72.73 / $184.01	Facility		$18.37	$72.73	$184.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $185.58 / $437.17	Professional		$106.75	$185.58	$437.17
United Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $179.09 / $233.61	Professional		$106.75	$179.09	$233.61