Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.43 / $121.43 / $121.43	Facility		$121.43	$121.43	$121.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $97.14 / $121.43	Professional		$97.14	$97.14	$121.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.19 / $121.81 / $124.93	Facility		$106.19	$121.81	$124.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $107.60 / $107.60	Professional		$107.60	$107.60	$107.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $115.36 / $121.43	Facility		$11.59	$115.36	$121.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $119.00	Professional		$101.19	$101.19	$119.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $121.43	Professional		$101.19	$101.19	$121.43