Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.41 / $2,624.00 / $10,439.00	Facility		$108.41	$2,624.00	$10,439.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.43 / $122.81 / $192.80	Professional		$64.43	$122.81	$192.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.00 / $437.42 / $499.50	Facility		$220.00	$437.42	$499.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.30 / $138.00 / $242.62	Professional		$117.30	$138.00	$242.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $160.27 / $294.20	Professional		$87.15	$160.27	$294.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.43 / $187.00 / $797.00	Facility		$64.43	$187.00	$797.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.84 / $207.12 / $1,175.18	Professional		$142.84	$207.12	$1,175.18
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $526.00 / $1,769.00	Facility		$191.00	$526.00	$1,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.03 / $167.47 / $268.07	Professional		$140.03	$167.47	$268.07