Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $93.75	Facility		$75.00	$75.00	$93.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $93.75	Professional		$75.00	$75.00	$93.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.93 / $157.57 / $197.59	Facility		$133.93	$157.57	$197.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.41 / $132.41 / $132.41	Professional		$132.41	$132.41	$132.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $93.75 / $111.89	Facility		$75.00	$93.75	$111.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $90.69	Professional		$90.69	$90.69	$90.69
United Facility/Professional Professional Modifier Low / Median / High Price $90.69 / $90.69 / $102.09	Professional		$90.69	$90.69	$102.09