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 $133.40 / $259.73 / $326.20	Professional		$133.40	$259.73	$326.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $769.58 / $1,043.58 / $1,511.68	Facility		$769.58	$1,043.58	$1,511.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.85 / $326.89 / $448.88	Professional		$150.85	$326.89	$448.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.71 / $190.71 / $230.78	Facility		$190.71	$190.71	$230.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.07 / $254.95 / $457.03	Professional		$177.07	$254.95	$457.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.07 / $306.48 / $940.92	Facility		$140.07	$306.48	$940.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.85 / $398.12 / $2,343.06	Professional		$299.85	$398.12	$2,343.06
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.95 / $355.95 / $519.40	Professional		$292.95	$355.95	$519.40