Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.00 / $3,683.00 / $7,500.00	Facility		$682.00	$3,683.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.36 / $128.36 / $199.11	Professional		$96.36	$128.36	$199.11
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 $130.43 / $193.90 / $212.91	Professional		$130.43	$193.90	$212.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.71 / $138.71 / $138.71	Facility		$138.71	$138.71	$138.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.94 / $190.24 / $294.20	Professional		$115.94	$190.24	$294.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.40 / $173.90 / $2,038.67	Facility		$97.40	$173.90	$2,038.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $201.77 / $803.52	Professional		$142.03	$201.77	$803.52
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 $138.68 / $186.91 / $267.33	Professional		$138.68	$186.91	$267.33