Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.36 / $122.36 / $8,500.00	Facility		$122.36	$122.36	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.36 / $136.16 / $176.86	Professional		$122.36	$136.16	$176.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.04 / $250.84 / $295.10	Professional		$229.04	$250.84	$295.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.49 / $220.88 / $356.55	Professional		$170.49	$220.88	$356.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.36 / $166.17 / $367.08	Facility		$122.36	$166.17	$367.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $229.89 / $316.14	Professional		$134.66	$229.89	$316.14
United Facility/Professional Facility Modifier Low / Median / High Price $10,487.80 / $10,487.80 / $10,487.80	Facility		$10,487.80	$10,487.80	$10,487.80
United Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $244.86 / $316.14	Professional		$146.91	$244.86	$316.14