Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.45 / $182.45 / $352.42	Facility		$182.45	$182.45	$352.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $184.27 / $236.91	Professional		$182.45	$184.27	$236.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $198.93 / $201.48	Facility		$197.94	$198.93	$201.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.25 / $198.63 / $200.41	Professional		$168.25	$198.63	$200.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.36 / $194.36 / $242.95	Professional		$194.36	$194.36	$242.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.18 / $195.18 / $332.84	Facility		$180.18	$195.18	$332.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.76 / $195.79 / $212.64	Professional		$190.76	$195.79	$212.64
United Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $182.45 / $243.12	Professional		$155.08	$182.45	$243.12