Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.10 / $244.10 / $244.10	Facility		$244.10	$244.10	$244.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.94 / $159.93 / $244.10	Professional		$94.94	$159.93	$244.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.20 / $234.95 / $249.93	Facility		$223.20	$234.95	$249.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.70 / $246.70 / $246.70	Professional		$246.70	$246.70	$246.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Facility		$190.69	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $190.69 / $427.03	Professional		$139.19	$190.69	$427.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $237.57 / $1,539.25	Facility		$94.94	$237.57	$1,539.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $147.07 / $314.43	Professional		$98.04	$147.07	$314.43
United Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $147.07 / $196.97	Professional		$98.04	$147.07	$196.97