Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $2,963.00 / $8,400.00	Facility		$838.00	$2,963.00	$8,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.11 / $271.50 / $305.99	Professional		$157.11	$271.50	$305.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.75 / $2,748.53 / $4,341.34	Facility		$1,737.75	$2,748.53	$4,341.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $269.14 / $369.58	Professional		$147.69	$269.14	$369.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.08 / $200.08 / $200.08	Facility		$200.08	$200.08	$200.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $253.70 / $433.00	Professional		$159.13	$253.70	$433.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.52 / $384.25 / $3,486.78	Facility		$177.52	$384.25	$3,486.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $228.38 / $285.47 / $1,170.24	Professional		$228.38	$285.47	$1,170.24
Medica Facility/Professional Professional Modifier 50 Low / Median / High Price $264.70 / $264.70 / $264.70	Professional	50	$264.70	$264.70	$264.70
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $2,072.00 / $4,012.00	Facility		$575.00	$2,072.00	$4,012.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.38 / $271.20 / $356.84	Professional		$228.38	$271.20	$356.84