Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.00 / $3,779.00 / $12,600.00	Facility		$1,163.00	$3,779.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,209.49 / $1,468.24 / $1,521.05	Professional		$1,209.49	$1,468.24	$1,521.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,458.86 / $8,478.14 / $13,320.93	Facility		$5,458.86	$8,478.14	$13,320.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,441.65 / $1,802.89 / $1,979.59	Professional		$1,441.65	$1,802.89	$1,979.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,410.36 / $1,772.25 / $2,196.05	Professional		$1,410.36	$1,772.25	$2,196.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,410.19 / $2,034.05 / $6,979.65	Facility		$1,410.19	$2,034.05	$6,979.65
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $6,576.94 / $6,576.94 / $6,576.94	Facility	62	$6,576.94	$6,576.94	$6,576.94
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $1,052.31 / $1,052.31 / $1,052.31	Facility	AS	$1,052.31	$1,052.31	$1,052.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,314.75 / $1,644.95 / $12,056.47	Professional		$1,314.75	$1,644.95	$12,056.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,157.00 / $3,858.00 / $7,077.94	Facility		$1,157.00	$3,858.00	$7,077.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,259.09 / $1,573.87 / $2,265.92	Professional		$1,259.09	$1,573.87	$2,265.92