Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $3,715.35 / $5,128.61	Facility		$436.52	$3,715.35	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $457.09 / $1,202.26	Professional		$389.05	$457.09	$1,202.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,380.38 / $1,778.28	Professional	50	$645.65	$1,380.38	$1,778.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,148.15	Professional		$812.83	$977.24	$1,148.15
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,230.27 / $1,445.44 / $1,737.80	Professional	50	$1,230.27	$1,445.44	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $870.96 / $1,380.38	Professional		$457.09	$870.96	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $758.58 / $3,467.37	Facility		$426.58	$758.58	$3,467.37
Medica Facility/Professional Facility Modifier 50 Low / Median / High Price $2,754.23 / $2,754.23 / $3,801.89	Facility	50	$2,754.23	$2,754.23	$3,801.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $3,801.89	Professional		$457.09	$831.76	$3,801.89
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional	50	$1,659.59	$1,659.59	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,677.35 / $5,128.61	Facility		$3,801.89	$4,677.35	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $1,096.48	Professional		$446.68	$794.33	$1,096.48