Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $88.42 / $88.42	Facility		$88.42	$88.42	$88.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $88.42 / $139.36	Professional		$61.78	$88.42	$139.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $117.90 / $278.52	Professional		$95.79	$117.90	$278.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.12 / $60.12 / $60.12	Professional		$60.12	$60.12	$60.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $147.37 / $288.85	Facility		$88.42	$147.37	$288.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $66.84 / $1,295.07	Professional		$59.47	$66.84	$1,295.07
United Facility/Professional Professional Modifier Low / Median / High Price $47.69 / $62.49 / $106.37	Professional		$47.69	$62.49	$106.37