Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.75 / $3,498.00 / $12,154.00	Facility		$209.75	$3,498.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.37 / $181.47 / $316.45	Professional		$106.37	$181.47	$316.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.36 / $165.36 / $165.36	Facility		$165.36	$165.36	$165.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.85 / $144.85 / $228.55	Professional		$144.85	$144.85	$228.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.00 / $324.00 / $596.00	Facility		$324.00	$324.00	$596.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $194.37 / $334.60	Professional		$117.63	$194.37	$334.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.49 / $195.92 / $476.00	Facility		$112.49	$195.92	$476.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $175.30 / $261.26 / $1,394.64	Professional		$175.30	$261.26	$1,394.64
United Facility/Professional Facility Modifier Low / Median / High Price $191.00 / $526.00 / $1,713.00	Facility		$191.00	$526.00	$1,713.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.62 / $206.85 / $351.41	Professional		$167.62	$206.85	$351.41