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 $97.61 / $146.38 / $194.33	Professional		$97.61	$146.38	$194.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.02 / $1,161.74 / $1,849.78	Facility		$735.02	$1,161.74	$1,849.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.94 / $115.34 / $212.91	Professional		$112.94	$115.34	$212.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $147.91 / $218.41	Professional		$100.65	$147.91	$218.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.49 / $194.33 / $2,417.01	Facility		$102.49	$194.33	$2,417.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.54 / $212.50 / $1,950.30	Professional		$128.54	$212.50	$1,950.30
United Facility/Professional Facility Modifier Low / Median / High Price $352.00 / $1,279.00 / $2,637.00	Facility		$352.00	$1,279.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $162.71 / $267.74	Professional		$121.84	$162.71	$267.74