Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.36 / $175.83 / $198.04	Professional		$107.36	$175.83	$198.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,926.95 / $3,005.44 / $4,713.87	Facility		$1,926.95	$3,005.44	$4,713.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.55 / $189.35 / $268.07	Professional		$116.55	$189.35	$268.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $189.63 / $265.49	Professional		$123.29	$189.63	$265.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.74 / $215.79 / $2,743.00	Facility		$122.74	$215.79	$2,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.78 / $203.55 / $1,475.60	Professional		$163.78	$203.55	$1,475.60
United Facility/Professional Facility Modifier Low / Median / High Price $333.73 / $1,232.96 / $2,637.00	Facility		$333.73	$1,232.96	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.84 / $197.44 / $295.02	Professional		$162.84	$197.44	$295.02