Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $208.93	Facility		$120.23	$120.23	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $151.36	Professional		$120.23	$123.03	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $181.97 / $288.40	Facility		$114.82	$181.97	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $131.83 / $1,445.44	Facility		$120.23	$131.83	$1,445.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89