Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $3,165.00 / $8,400.00	Facility		$838.00	$3,165.00	$8,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $393.44 / $403.54	Professional		$255.61	$393.44	$403.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,719.49 / $2,739.02 / $4,373.29	Facility		$1,719.49	$2,739.02	$4,373.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.05 / $354.20 / $486.37	Professional		$225.05	$354.20	$486.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.85 / $235.85 / $235.85	Facility		$235.85	$235.85	$235.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.74 / $346.11 / $548.00	Professional		$229.74	$346.11	$548.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.83 / $516.92 / $4,830.00	Facility		$257.83	$516.92	$4,830.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $301.94 / $369.60 / $1,754.80	Professional		$301.94	$369.60	$1,754.80
United Facility/Professional Facility Modifier Low / Median / High Price $884.00 / $2,900.00 / $5,543.93	Facility		$884.00	$2,900.00	$5,543.93
United Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $358.76 / $471.43	Professional		$301.70	$358.76	$471.43