Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,742.00 / $12,600.00	Facility		$1,048.00	$3,742.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,080.38 / $1,213.80 / $1,251.44	Professional		$1,080.38	$1,213.80	$1,251.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,014.76 / $1,295.92 / $2,080.19	Professional		$1,014.76	$1,295.92	$2,080.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,392.46 / $1,604.15	Professional		$1,047.13	$1,392.46	$1,604.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $498.00 / $1,533.17 / $6,155.68	Facility		$498.00	$1,533.17	$6,155.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $887.62 / $1,346.22 / $15,307.50	Professional		$887.62	$1,346.22	$15,307.50
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,760.00 / $6,155.68	Facility		$350.00	$1,760.00	$6,155.68
United Facility/Professional Professional Modifier Low / Median / High Price $816.20 / $1,122.28 / $1,874.20	Professional		$816.20	$1,122.28	$1,874.20