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 $21.48 / $26.93 / $37.96	Professional		$21.48	$26.93	$37.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.16 / $1,836.86 / $2,924.73	Facility		$1,162.16	$1,836.86	$2,924.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $34.52 / $46.26	Professional		$25.82	$34.52	$46.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $30.90 / $40.56	Professional		$21.99	$30.90	$40.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $36.86 / $1,470.67	Facility		$22.55	$36.86	$1,470.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $39.02 / $284.63	Professional		$25.08	$39.02	$284.63
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 $23.36 / $30.21 / $43.07	Professional		$23.36	$30.21	$43.07