Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.87 / $173.87 / $173.87	Facility		$173.87	$173.87	$173.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $113.91 / $173.87	Professional		$67.63	$113.91	$173.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.00 / $168.03 / $178.23	Facility		$154.00	$168.03	$178.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $166.78 / $166.78	Professional		$166.78	$166.78	$166.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $139.66 / $139.66	Facility		$139.66	$139.66	$139.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $139.66 / $312.66	Professional		$101.95	$139.66	$312.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $169.23 / $1,100.50	Facility		$67.63	$169.23	$1,100.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $104.75 / $268.26	Professional		$69.84	$104.75	$268.26
United Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $104.75 / $140.30	Professional		$69.84	$104.75	$140.30