Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,612.00 / $7,500.00	Facility		$625.00	$3,612.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $129.49 / $161.02	Professional		$89.21	$129.49	$161.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.79 / $1,783.71 / $2,818.24	Facility		$1,122.79	$1,783.71	$2,818.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $158.19 / $249.05	Professional		$112.88	$158.19	$249.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.29 / $599.29 / $599.29	Facility		$599.29	$599.29	$599.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.63 / $161.37 / $260.08	Professional		$109.63	$161.37	$260.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $154.26 / $2,038.67	Facility		$90.17	$154.26	$2,038.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $185.53 / $740.00	Professional		$143.26	$185.53	$740.00
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,325.00 / $2,637.00	Facility		$375.00	$1,325.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.83 / $180.50 / $247.75	Professional		$134.83	$180.50	$247.75