Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,779.00 / $12,600.00	Facility		$1,048.00	$3,779.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.49 / $189.49 / $189.49	Professional		$189.49	$189.49	$189.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,900.35 / $3,003.61 / $4,782.47	Facility		$1,900.35	$3,003.61	$4,782.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $249.59 / $264.33	Professional		$192.50	$249.59	$264.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.24 / $255.29 / $293.08	Professional		$199.24	$255.29	$293.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.49 / $1,025.52 / $9,232.95	Facility		$189.49	$1,025.52	$9,232.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.86 / $248.86 / $43,989.26	Professional		$180.86	$248.86	$43,989.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,481.00 / $5,524.00 / $9,232.95	Facility		$1,481.00	$5,524.00	$9,232.95
United Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $234.35 / $316.08	Professional		$176.70	$234.35	$316.08