Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $2,876.00 / $7,500.00	Facility		$625.00	$2,876.00	$7,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $195.51 / $220.16	Professional		$163.25	$195.51	$220.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $207.06 / $261.93	Professional		$154.00	$207.06	$261.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.82 / $122.82 / $122.82	Facility		$122.82	$122.82	$122.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $217.02 / $283.00	Professional		$151.99	$217.02	$283.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.06 / $265.06 / $1,676.40	Facility		$151.06	$265.06	$1,676.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $167.23 / $206.43 / $1,217.04	Professional		$167.23	$206.43	$1,217.04
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $607.00 / $1,883.00	Facility		$100.00	$607.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.14 / $200.24 / $258.04	Professional		$165.14	$200.24	$258.04