Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.76 / $215.54 / $555.46	Facility		$128.76	$215.54	$555.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $130.00 / $178.43	Professional		$127.45	$130.00	$178.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.75 / $166.64 / $175.00	Facility		$148.75	$166.64	$175.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.79 / $131.79 / $131.79	Professional		$131.79	$131.79	$131.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $120.24 / $127.45	Facility		$120.24	$120.24	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $176.73 / $197.00	Facility		$126.24	$176.73	$197.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.24 / $126.24 / $187.15	Professional		$126.24	$126.24	$187.15
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $172.43	Professional		$127.45	$127.45	$172.43