Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.70 / $516.70 / $516.70	Facility		$516.70	$516.70	$516.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $359.73 / $575.55	Professional		$201.85	$359.73	$575.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $430.96 / $470.20 / $498.74	Facility		$430.96	$470.20	$498.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $466.71 / $466.71 / $466.71	Professional		$466.71	$466.71	$466.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.67 / $468.67 / $468.67	Facility		$468.67	$468.67	$468.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $468.67 / $1,050.00	Professional		$342.13	$468.67	$1,050.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $201.85 / $553.79 / $3,286.44	Facility		$201.85	$553.79	$3,286.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.44 / $393.45 / $877.88	Professional		$208.44	$393.45	$877.88
United Facility/Professional Facility Modifier Low / Median / High Price $383.20 / $383.20 / $383.20	Facility		$383.20	$383.20	$383.20
United Facility/Professional Professional Modifier Low / Median / High Price $228.54 / $342.82 / $481.80	Professional		$228.54	$342.82	$481.80