Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $791.70 / $8,500.00	Facility		$791.70	$791.70	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.70 / $791.70 / $791.70	Professional		$791.70	$791.70	$791.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,838.37 / $1,948.68 / $2,278.66	Professional		$1,838.37	$1,948.68	$2,278.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.57 / $2,148.38 / $2,774.32	Professional		$1,326.57	$2,148.38	$2,774.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $791.70 / $791.70 / $2,375.10	Facility		$791.70	$791.70	$2,375.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,029.76 / $1,806.08 / $2,499.02	Professional		$1,029.76	$1,806.08	$2,499.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,058.01 / $1,923.66 / $2,499.02	Professional		$1,058.01	$1,923.66	$2,499.02