Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $213.80 / $302.00	Facility		$194.98	$213.80	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $302.00	Professional		$194.98	$194.98	$302.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $181.97 / $295.12	Facility		$114.82	$181.97	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Facility		$186.21	$186.21	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $331.13	Facility		$190.55	$204.17	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $199.53 / $794.33	Professional		$190.55	$199.53	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $194.98 / $194.98	Facility		$190.55	$194.98	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $194.98 / $218.78	Professional		$186.21	$194.98	$218.78