Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,771.00 / $6,305.00	Facility		$1,170.00	$2,771.00	$6,305.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Professional		$126.00	$126.00	$126.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.40 / $3,100.51 / $5,432.89	Facility		$830.40	$3,100.51	$5,432.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.69 / $209.94 / $244.05	Professional		$183.69	$209.94	$244.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.95 / $643.95 / $643.95	Facility		$643.95	$643.95	$643.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $138.60 / $1,448.00	Facility		$126.00	$138.60	$1,448.00
United Facility/Professional Facility Modifier Low / Median / High Price $285.00 / $1,424.00 / $2,057.00	Facility		$285.00	$1,424.00	$2,057.00