Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,576.00 / $7,500.00	Facility		$625.00	$3,576.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.87 / $94.73 / $122.00	Professional		$57.87	$94.73	$122.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,064.77 / $6,411.35 / $10,202.77	Facility		$4,064.77	$6,411.35	$10,202.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $129.28 / $160.04	Professional		$98.27	$129.28	$160.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $132.97 / $168.07	Professional		$82.56	$132.97	$168.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.84 / $138.74 / $1,538.00	Facility		$96.84	$138.74	$1,538.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $127.40 / $703.76	Professional		$99.54	$127.40	$703.76
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $678.00 / $1,615.00	Facility		$100.00	$678.00	$1,615.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $123.58 / $184.65	Professional		$95.55	$123.58	$184.65