Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,576.00 / $7,500.00	Facility		$625.00	$3,576.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.93 / $206.93 / $208.88	Professional		$206.93	$206.93	$208.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,937.22 / $6,114.03 / $9,607.77	Facility		$3,937.22	$6,114.03	$9,607.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.60 / $197.75 / $265.77	Professional		$159.60	$197.75	$265.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.53 / $249.18 / $299.16	Professional		$194.53	$249.18	$299.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.88 / $694.00 / $5,962.62	Facility		$208.88	$694.00	$5,962.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $178.34 / $246.24 / $1,514.32	Professional		$178.34	$246.24	$1,514.32
United Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $3,680.00 / $5,847.50	Facility		$886.00	$3,680.00	$5,847.50
United Facility/Professional Professional Modifier Low / Median / High Price $170.14 / $219.34 / $328.60	Professional		$170.14	$219.34	$328.60