Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.43 / $890.43 / $8,500.00	Facility		$890.43	$890.43	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.42 / $890.43 / $890.43	Professional		$840.42	$890.43	$890.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,714.57 / $1,865.06 / $2,235.80	Professional		$1,714.57	$1,865.06	$2,235.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.48 / $2,085.48 / $2,693.10	Professional		$1,075.48	$2,085.48	$2,693.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $890.43 / $1,248.06 / $2,671.29	Facility		$890.43	$1,248.06	$2,671.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $924.25 / $1,668.68 / $2,308.02	Professional		$924.25	$1,668.68	$2,308.02
United Facility/Professional Professional Modifier Low / Median / High Price $924.25 / $1,921.82 / $2,308.02	Professional		$924.25	$1,921.82	$2,308.02