Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,048.00 / $3,779.00 / $12,600.00	Facility		$1,048.00	$3,779.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.78 / $719.78 / $890.04	Professional		$719.78	$719.78	$890.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $875.00 / $1,094.25 / $1,201.50	Professional		$875.00	$1,094.25	$1,201.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $926.72 / $1,148.01 / $1,437.22	Professional		$926.72	$1,148.01	$1,437.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $719.78 / $1,330.70 / $5,882.00	Facility		$719.78	$1,330.70	$5,882.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $834.87 / $1,147.58 / $6,442.48	Professional		$834.87	$1,147.58	$6,442.48
United Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $2,900.00 / $5,543.93	Facility		$880.00	$2,900.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $767.70 / $1,007.60 / $1,333.87	Professional		$767.70	$1,007.60	$1,333.87