Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,923.00 / $7,500.00	Facility		$625.00	$2,923.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $138.18 / $178.00	Professional		$107.03	$138.18	$178.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,383.45 / $5,336.68 / $8,463.04	Facility		$3,383.45	$5,336.68	$8,463.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $149.44 / $205.22	Professional		$118.58	$149.44	$205.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.71 / $164.43 / $244.82	Professional		$113.71	$164.43	$244.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.79 / $165.63 / $634.00	Facility		$112.79	$165.63	$634.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $197.15 / $1,083.52	Professional		$141.12	$197.15	$1,083.52
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.08 / $172.04 / $260.72	Professional		$131.08	$172.04	$260.72