Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,683.00 / $7,500.00	Facility		$625.00	$3,683.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.79 / $148.75 / $170.12	Professional		$103.79	$148.75	$170.12
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 $140.50 / $165.90 / $227.80	Professional		$140.50	$165.90	$227.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.26 / $164.26 / $164.26	Facility		$164.26	$164.26	$164.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.29 / $192.64 / $264.49	Professional		$123.29	$192.64	$264.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.92 / $172.56 / $2,038.67	Facility		$104.92	$172.56	$2,038.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.47 / $188.83 / $845.68	Professional		$146.47	$188.83	$845.68
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 $141.18 / $180.40 / $253.28	Professional		$141.18	$180.40	$253.28