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 $91.84 / $176.86 / $176.86	Professional		$91.84	$176.86	$176.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,921.57 / $2,995.53 / $4,713.87	Facility		$1,921.57	$2,995.53	$4,713.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $172.46 / $228.94	Professional		$102.86	$172.46	$228.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $171.83 / $250.56	Professional		$95.71	$171.83	$250.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.84 / $185.70 / $1,470.67	Facility		$91.84	$185.70	$1,470.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.47 / $252.51 / $1,258.88	Professional		$147.47	$252.51	$1,258.88
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 $125.29 / $180.24 / $260.72	Professional		$125.29	$180.24	$260.72