Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,576.00 / $7,500.00	Facility		$625.00	$3,576.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $104.14 / $115.57	Professional		$73.20	$104.14	$115.57
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 $83.67 / $113.75 / $156.19	Professional		$83.67	$113.75	$156.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.29 / $134.65 / $182.87	Professional		$86.29	$134.65	$182.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.98 / $117.89 / $1,172.00	Facility		$73.98	$117.89	$1,172.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $131.90 / $587.12	Professional		$100.39	$131.90	$587.12
United Facility/Professional Facility Modifier Low / Median / High Price $139.00 / $610.00 / $1,883.00	Facility		$139.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.72 / $124.45 / $173.29	Professional		$96.72	$124.45	$173.29