Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.25 / $194.25 / $194.25	Facility		$194.25	$194.25	$194.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.88 / $141.94 / $216.38	Professional		$123.88	$141.94	$216.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.16 / $209.66 / $222.38	Facility		$192.16	$209.66	$222.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.10 / $208.10 / $208.10	Professional		$208.10	$208.10	$208.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $409.07 / $759.84	Professional		$347.71	$409.07	$759.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.68 / $245.32 / $1,416.02	Facility		$147.68	$245.32	$1,416.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $272.11 / $815.10	Professional		$115.49	$272.11	$815.10
United Facility/Professional Facility Modifier Low / Median / High Price $318.88 / $318.88 / $318.88	Facility		$318.88	$318.88	$318.88
United Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $259.85 / $434.20	Professional		$110.75	$259.85	$434.20