Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,287.97 / $1,287.97 / $8,500.00	Facility		$1,287.97	$1,287.97	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.97 / $1,287.97 / $1,355.07	Professional		$1,287.97	$1,287.97	$1,355.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,547.71 / $2,764.27 / $3,266.00	Professional		$2,547.71	$2,764.27	$3,266.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,704.16 / $2,354.56 / $3,800.71	Professional		$1,704.16	$2,354.56	$3,800.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,287.97 / $1,792.02 / $3,863.91	Facility		$1,287.97	$1,792.02	$3,863.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,290.78 / $2,439.52 / $3,307.64	Professional		$1,290.78	$2,439.52	$3,307.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,429.09 / $2,598.34 / $3,307.64	Professional		$1,429.09	$2,598.34	$3,307.64