Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.18 / $2,652.00 / $12,600.00	Facility		$759.18	$2,652.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.67 / $1,015.27 / $1,247.26	Professional		$835.67	$1,015.27	$1,247.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,374.38 / $8,537.98 / $13,565.01	Facility		$5,374.38	$8,537.98	$13,565.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $847.33 / $1,134.22 / $1,411.04	Professional		$847.33	$1,134.22	$1,411.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $917.98 / $1,193.58 / $1,460.94	Professional		$917.98	$1,193.58	$1,460.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $863.08 / $1,236.61 / $5,975.00	Facility		$863.08	$1,236.61	$5,975.00
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $397.38 / $397.38 / $397.38	Facility	AS	$397.38	$397.38	$397.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $942.25 / $1,191.69 / $6,420.24	Professional		$942.25	$1,191.69	$6,420.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $4,612.45 / $8,601.34	Facility		$1,157.00	$4,612.45	$8,601.34
United Facility/Professional Professional Modifier Low / Median / High Price $890.98 / $1,113.73 / $1,625.07	Professional		$890.98	$1,113.73	$1,625.07