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 $117.95 / $154.69 / $215.08	Professional		$117.95	$154.69	$215.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.89 / $160.94 / $217.04	Facility		$120.89	$160.94	$217.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.30 / $190.75 / $261.93	Professional		$122.30	$190.75	$261.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.82 / $205.11 / $286.70	Professional		$134.82	$205.11	$286.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.16 / $212.63 / $706.05	Facility		$135.16	$212.63	$706.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $239.06 / $1,540.72	Professional		$167.56	$239.06	$1,540.72
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 $165.20 / $207.88 / $374.10	Professional		$165.20	$207.88	$374.10