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 $102.04 / $164.96 / $242.54	Professional		$102.04	$164.96	$242.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,962.42 / $3,095.30 / $4,908.60	Facility		$1,962.42	$3,095.30	$4,908.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.06 / $213.85 / $356.15	Professional		$126.06	$213.85	$356.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.36 / $171.07 / $296.77	Professional		$115.36	$171.07	$296.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.33 / $230.68 / $2,743.00	Facility		$112.33	$230.68	$2,743.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.51 / $264.11 / $1,626.16	Professional		$179.51	$264.11	$1,626.16
United Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $2,900.00 / $5,543.93	Facility		$884.00	$2,900.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $175.58 / $229.46 / $377.57	Professional		$175.58	$229.46	$377.57