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 $100.00 / $106.57 / $111.88	Professional		$100.00	$106.57	$111.88
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 $92.75 / $124.71 / $133.13	Professional		$92.75	$124.71	$133.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.50 / $69.50 / $69.50	Facility		$69.50	$69.50	$69.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.13 / $126.29 / $176.00	Professional		$93.13	$126.29	$176.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.09 / $145.38 / $1,676.40	Facility		$95.09	$145.38	$1,676.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.23 / $106.29 / $747.84	Professional		$87.23	$106.29	$747.84
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $610.00 / $1,883.00	Facility		$100.00	$610.00	$1,883.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.30 / $105.38 / $131.72	Professional		$84.30	$105.38	$131.72