Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.09 / $206.09 / $206.09	Facility		$206.09	$206.09	$206.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.90 / $143.47 / $229.57	Professional		$87.90	$143.47	$229.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $268.31 / $292.74 / $310.51	Facility		$268.31	$292.74	$310.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.57 / $290.57 / $290.57	Professional		$290.57	$290.57	$290.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $170.54	Facility		$170.54	$170.54	$170.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $170.54 / $462.66	Professional		$124.49	$170.54	$462.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $220.88 / $1,456.51	Facility		$87.90	$220.88	$1,456.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $156.91 / $350.13	Professional		$90.77	$156.91	$350.13
United Facility/Professional Professional Modifier Low / Median / High Price $91.15 / $136.72 / $209.82	Professional		$91.15	$136.72	$209.82