Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.47 / $301.47 / $301.47	Facility		$301.47	$301.47	$301.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.66 / $209.89 / $335.82	Professional		$117.66	$209.89	$335.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.45 / $298.36 / $316.45	Facility		$273.45	$298.36	$316.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.14 / $296.14 / $296.14	Professional		$296.14	$296.14	$296.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.28 / $228.28 / $228.28	Facility		$228.28	$228.28	$228.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.64 / $228.28 / $529.22	Professional		$166.64	$228.28	$529.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.66 / $323.11 / $1,903.31	Facility		$117.66	$323.11	$1,903.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.50 / $229.55 / $512.19	Professional		$121.50	$229.55	$512.19
United Facility/Professional Professional Modifier Low / Median / High Price $133.34 / $200.02 / $280.85	Professional		$133.34	$200.02	$280.85