Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,640.00 / $5,506.00	Facility		$1,170.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $223.72 / $576.41	Professional		$55.26	$223.72	$576.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.21 / $311.29 / $512.36	Facility		$83.21	$311.29	$512.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $39.53 / $59.30	Professional		$21.25	$39.53	$59.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.03 / $582.03 / $582.03	Facility		$582.03	$582.03	$582.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $81.73 / $1,791.95	Facility		$27.29	$81.73	$1,791.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $50.45 / $113.23	Professional		$41.83	$50.45	$113.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $1,525.00 / $3,268.00	Facility		$1,068.00	$1,525.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $48.05 / $100.19	Professional		$41.83	$48.05	$100.19