Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $121.39 / $8,500.00	Facility		$110.57	$121.39	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.28 / $110.57 / $130.72	Professional		$90.28	$110.57	$130.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.67 / $238.02 / $280.02	Professional		$215.67	$238.02	$280.02
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $316.52 / $357.03 / $420.03	Professional	50	$316.52	$357.03	$420.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.23 / $212.39 / $342.83	Professional		$103.23	$212.39	$342.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.57 / $193.74 / $260.70	Facility		$110.57	$193.74	$260.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $215.42 / $823.20	Professional		$110.76	$215.42	$823.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,123.00 / $1,123.00 / $1,123.00	Facility		$1,123.00	$1,123.00	$1,123.00
United Facility/Professional Professional Modifier Low / Median / High Price $110.76 / $196.95 / $285.33	Professional		$110.76	$196.95	$285.33