Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,612.00 / $8,400.00	Facility		$838.00	$3,612.00	$8,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.70 / $151.82 / $172.95	Professional		$112.70	$151.82	$172.95
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 $167.73 / $258.00 / $363.84	Professional		$167.73	$258.00	$363.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.49 / $770.49 / $770.49	Facility		$770.49	$770.49	$770.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.75 / $202.32 / $293.45	Professional		$130.75	$202.32	$293.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.34 / $201.47 / $2,038.67	Facility		$118.34	$201.47	$2,038.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.13 / $207.28 / $2,563.92	Professional		$158.13	$207.28	$2,563.92
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,327.00 / $2,637.00	Facility		$375.00	$1,327.00	$2,637.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.93 / $196.42 / $280.14	Professional		$157.93	$196.42	$280.14