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 $94.81 / $181.10 / $225.97	Professional		$94.81	$181.10	$225.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,114.98 / $1,497.40 / $2,169.03	Facility		$1,114.98	$1,497.40	$2,169.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.05 / $203.70 / $279.70	Professional		$115.05	$203.70	$279.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $220.90 / $319.83	Professional		$110.99	$220.90	$319.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.12 / $225.97 / $2,160.00	Facility		$106.12	$225.97	$2,160.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $190.53 / $274.95 / $1,565.36	Professional		$190.53	$274.95	$1,565.36
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,928.00 / $4,012.00	Facility		$575.00	$1,928.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $241.36 / $349.80	Professional		$175.54	$241.36	$349.80