Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $124.50 / $150.00	Professional		$120.00	$124.50	$150.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.95 / $1.00 / $1.00	Facility		$0.95	$1.00	$1.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.01 / $347.56 / $540.20	Professional		$186.01	$347.56	$540.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.50 / $150.00 / $150.00	Facility		$121.50	$150.00	$150.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $295.91	Professional		$150.00	$150.00	$295.91
United Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $150.00 / $271.92	Professional		$150.00	$150.00	$271.92