Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $354.81	Facility		$194.98	$194.98	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $245.47	Professional		$194.98	$194.98	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $234.42	Professional		$162.18	$213.80	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $251.19	Professional		$194.98	$199.53	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $199.53 / $338.84	Facility		$169.82	$199.53	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $234.42	Professional		$190.55	$208.93	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $234.42	Professional		$194.98	$194.98	$234.42