Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,570.40 / $5,011.87	Facility		$457.09	$2,570.40	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,862.09 / $2,570.40	Professional		$457.09	$1,862.09	$2,570.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,495.41 / $6,165.95	Professional		$3,981.07	$5,495.41	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,981.07	Professional		$3,162.28	$3,162.28	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,548.82 / $4,168.69	Facility		$457.09	$1,548.82	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,235.94 / $5,495.41	Professional		$1,148.15	$3,235.94	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,818.38 / $4,677.35	Professional		$1,148.15	$2,818.38	$4,677.35