Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,165.00 / $8,400.00	Facility		$838.00	$3,165.00	$8,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.52 / $391.95 / $398.65	Professional		$217.52	$391.95	$398.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,677.01 / $5,811.74 / $9,253.70	Facility		$3,677.01	$5,811.74	$9,253.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $259.04 / $449.36	Professional		$253.65	$259.04	$449.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.51 / $334.56 / $439.60	Professional		$209.51	$334.56	$439.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $228.40 / $411.55 / $3,390.00	Facility		$228.40	$411.55	$3,390.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $284.37 / $467.03 / $2,600.56	Professional		$284.37	$467.03	$2,600.56
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,760.00 / $3,790.62	Facility		$575.00	$1,760.00	$3,790.62
United Facility/Professional Professional Modifier Low / Median / High Price $277.68 / $344.59 / $564.45	Professional		$277.68	$344.59	$564.45