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 $110.62 / $153.63 / $173.25	Professional		$110.62	$153.63	$173.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,934.93 / $7,783.81 / $12,386.87	Facility		$4,934.93	$7,783.81	$12,386.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.06 / $139.33 / $201.06	Professional		$101.06	$139.33	$201.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.41 / $136.53 / $201.49	Professional		$92.41	$136.53	$201.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.79 / $181.91 / $2,526.73	Facility		$101.79	$181.91	$2,526.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.30 / $193.56 / $995.20	Professional		$133.30	$193.56	$995.20
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 $128.47 / $171.84 / $257.44	Professional		$128.47	$171.84	$257.44