Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,536.00 / $7,500.00	Facility		$625.00	$2,536.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.15 / $116.68 / $158.16	Professional		$110.15	$116.68	$158.16
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 $100.80 / $138.41 / $189.36	Professional		$100.80	$138.41	$189.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $136.51 / $171.88	Professional		$97.56	$136.51	$171.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.41 / $158.16 / $2,177.62	Facility		$110.41	$158.16	$2,177.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $183.77 / $1,152.96	Professional		$106.54	$183.77	$1,152.96
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,265.00 / $2,637.00	Facility		$375.00	$1,265.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $124.95 / $213.47	Professional		$96.90	$124.95	$213.47