Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,125.00 / $2,753.00 / $5,506.00	Facility		$1,125.00	$2,753.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $105.81 / $411.70	Professional		$70.89	$105.81	$411.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $412.80 / $1,640.88 / $2,700.74	Facility		$412.80	$1,640.88	$2,700.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.27 / $82.85 / $116.88	Professional		$71.27	$82.85	$116.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $93.55 / $93.55	Facility		$93.55	$93.55	$93.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $115.53 / $200.01	Professional		$78.37	$115.53	$200.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.15 / $114.83 / $1,438.00	Facility		$75.15	$114.83	$1,438.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.10 / $141.75 / $941.99	Professional		$101.10	$141.75	$941.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,068.00 / $1,525.00 / $3,268.00	Facility		$1,068.00	$1,525.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $120.83 / $222.59	Professional		$99.51	$120.83	$222.59