Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.00 / $4,919.00 / $12,600.00	Facility		$1,700.00	$4,919.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $629.85 / $809.40 / $1,187.58	Professional		$629.85	$809.40	$1,187.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $1,123.33 / $1,182.46	Facility		$539.00	$1,123.33	$1,182.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $871.11 / $1,024.83 / $1,218.07	Professional		$871.11	$1,024.83	$1,218.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $505.00	Facility		$505.00	$505.00	$505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $774.50 / $1,102.20 / $1,469.60	Professional		$774.50	$1,102.20	$1,469.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $711.73 / $1,055.07 / $4,330.00	Facility		$711.73	$1,055.07	$4,330.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $907.90 / $1,062.95 / $6,576.16	Professional		$907.90	$1,062.95	$6,576.16
United Facility/Professional Facility Modifier Low / Median / High Price $909.00 / $2,081.00 / $3,842.00	Facility		$909.00	$2,081.00	$3,842.00
United Facility/Professional Professional Modifier Low / Median / High Price $868.43 / $944.69 / $1,383.44	Professional		$868.43	$944.69	$1,383.44