Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $730.40 / $730.40 / $9,500.00	Facility		$730.40	$730.40	$9,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.51 / $730.40 / $914.04	Professional		$630.51	$730.40	$914.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,390.73 / $2,610.61 / $3,084.47	Professional		$2,390.73	$2,610.61	$3,084.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.70 / $1,729.81 / $2,792.25	Professional		$1,288.70	$1,729.81	$2,792.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $730.40 / $1,314.24 / $2,191.19	Facility		$730.40	$1,314.24	$2,191.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $790.61 / $1,232.57 / $2,153.73	Professional		$790.61	$1,232.57	$2,153.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,640.00 / $4,640.00 / $4,640.00	Facility		$4,640.00	$4,640.00	$4,640.00
United Facility/Professional Professional Modifier Low / Median / High Price $766.48 / $1,232.57 / $2,036.62	Professional		$766.48	$1,232.57	$2,036.62