Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $162.50	Facility		$130.00	$130.00	$162.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $162.50	Professional		$130.00	$130.00	$162.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.37 / $193.38 / $224.21	Facility		$164.37	$193.38	$224.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.50 / $162.50 / $162.50	Professional		$162.50	$162.50	$162.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $162.50 / $193.95	Facility		$130.00	$162.50	$193.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $332.96	Professional		$332.96	$332.96	$332.96
United Facility/Professional Professional Modifier Low / Median / High Price $332.96 / $332.96 / $374.81	Professional		$332.96	$332.96	$374.81