Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.00 / $1,305.00 / $1,305.00	Facility		$1,305.00	$1,305.00	$1,305.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $62.86 / $298.45	Professional		$46.85	$62.86	$298.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $253.25 / $414.22	Facility		$68.84	$253.25	$414.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $50.14 / $62.68	Professional		$37.61	$50.14	$62.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $67.25 / $97.62	Professional		$53.25	$67.25	$97.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $93.69 / $1,944.00	Facility		$47.80	$93.69	$1,944.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.44 / $64.47 / $134.53	Professional		$53.44	$64.47	$134.53
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 $51.84 / $62.70 / $97.20	Professional		$51.84	$62.70	$97.20