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 $107.19 / $170.61 / $340.39	Professional		$107.19	$170.61	$340.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.60 / $1,704.86 / $2,700.74	Facility		$438.60	$1,704.86	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.75 / $121.87 / $188.89	Professional		$101.75	$121.87	$188.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.89 / $173.29 / $272.33	Professional		$105.89	$173.29	$272.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.38 / $183.32 / $1,873.00	Facility		$110.38	$183.32	$1,873.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.63 / $192.85 / $1,475.60	Professional		$151.63	$192.85	$1,475.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,525.00 / $3,268.00	Facility		$1,086.00	$1,525.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.56 / $187.00 / $267.61	Professional		$151.56	$187.00	$267.61