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 $122.91 / $187.94 / $220.48	Professional		$122.91	$187.94	$220.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,489.71 / $2,349.69 / $3,739.22	Facility		$1,489.71	$2,349.69	$3,739.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.38 / $230.06 / $283.07	Professional		$155.38	$230.06	$283.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.59 / $213.64 / $305.55	Professional		$138.59	$213.64	$305.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.47 / $229.32 / $1,500.00	Facility		$122.47	$229.32	$1,500.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.07 / $220.99 / $2,772.20	Professional		$180.07	$220.99	$2,772.20
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $219.42 / $318.02	Professional		$175.54	$219.42	$318.02