Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,923.00 / $7,500.00	Facility		$625.00	$2,923.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $130.91 / $170.68	Professional		$115.76	$130.91	$170.68
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 $106.75 / $147.19 / $205.22	Professional		$106.75	$147.19	$205.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $150.38 / $188.60	Professional		$103.75	$150.38	$188.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.85 / $172.50 / $4,143.00	Facility		$116.85	$172.50	$4,143.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.93 / $160.78 / $1,581.00	Professional		$116.93	$160.78	$1,581.00
United Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $3,869.00 / $6,041.11	Facility		$886.00	$3,869.00	$6,041.11
United Facility/Professional Professional Modifier Low / Median / High Price $114.65 / $140.13 / $234.29	Professional		$114.65	$140.13	$234.29