Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,965.00 / $3,819.00 / $7,467.00	Facility		$1,965.00	$3,819.00	$7,467.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.68 / $193.84 / $903.00	Professional		$123.68	$193.84	$903.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $296.33 / $1,219.44 / $1,486.50	Professional	50	$296.33	$1,219.44	$1,486.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $672.35 / $2,515.38 / $4,140.09	Facility		$672.35	$2,515.38	$4,140.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.22 / $136.26 / $197.93	Professional		$117.22	$136.26	$197.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.26 / $253.26 / $253.26	Facility		$253.26	$253.26	$253.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.25 / $200.55 / $347.85	Professional		$128.25	$200.55	$347.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.78 / $203.69 / $1,053.00	Facility		$135.78	$203.69	$1,053.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $252.90 / $1,506.00	Professional		$176.03	$252.90	$1,506.00
United Facility/Professional Facility Modifier Low / Median / High Price $704.00 / $1,535.00 / $2,175.00	Facility		$704.00	$1,535.00	$2,175.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $213.56 / $390.70	Professional		$174.22	$213.56	$390.70