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 $118.22 / $189.78 / $201.96	Professional		$118.22	$189.78	$201.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,436.64 / $5,336.68 / $8,386.21	Facility		$3,436.64	$5,336.68	$8,386.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $172.20 / $244.45	Professional		$110.13	$172.20	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $175.65 / $252.09	Professional		$114.65	$175.65	$252.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.22 / $208.44 / $1,470.67	Facility		$118.22	$208.44	$1,470.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $272.56 / $1,382.56	Professional		$162.32	$272.56	$1,382.56
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 $154.86 / $199.20 / $299.45	Professional		$154.86	$199.20	$299.45