Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $3,803.00 / $12,600.00	Facility		$1,150.00	$3,803.00	$12,600.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,053.25 / $3,053.25 / $3,053.25	Facility	50	$3,053.25	$3,053.25	$3,053.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $1,829.18 / $1,860.99	Professional		$173.93	$1,829.18	$1,860.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,554.57 / $2,452.35 / $3,902.03	Facility		$1,554.57	$2,452.35	$3,902.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $2,147.79 / $2,358.30	Professional		$188.65	$2,147.79	$2,358.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.71 / $306.64 / $2,886.44	Professional		$178.71	$306.64	$2,886.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $176.96 / $1,948.50 / $5,897.00	Facility		$176.96	$1,948.50	$5,897.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,681.05 / $2,822.62 / $12,112.80	Professional		$1,681.05	$2,822.62	$12,112.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,091.00 / $4,054.00 / $7,077.94	Facility		$1,091.00	$4,054.00	$7,077.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,603.76 / $2,273.54 / $3,170.99	Professional		$1,603.76	$2,273.54	$3,170.99