Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $2,640.00 / $5,506.00	Facility		$1,170.00	$2,640.00	$5,506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.32 / $138.55 / $523.45	Professional		$86.32	$138.55	$523.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.81 / $564.53 / $865.65	Facility		$138.81	$564.53	$865.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $75.75 / $101.63	Professional		$60.60	$75.75	$101.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.52 / $168.59 / $289.25	Professional		$100.52	$168.59	$289.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.95 / $160.44 / $1,438.00	Facility		$94.95	$160.44	$1,438.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.25 / $199.50 / $740.00	Professional		$147.25	$199.50	$740.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,086.00 / $1,958.00 / $3,268.00	Facility		$1,086.00	$1,958.00	$3,268.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $171.00 / $332.02	Professional		$142.50	$171.00	$332.02