Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $45.00 / $582.00	Professional		$35.00	$45.00	$582.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $635.40 / $1,046.80	Facility		$160.00	$635.40	$1,046.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $160.00 / $240.00	Professional		$120.00	$160.00	$240.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.50 / $350.00 / $476.05	Professional		$252.50	$350.00	$476.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.00 / $227.00 / $270.00	Facility		$227.00	$227.00	$270.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,798.00 / $3,798.00 / $3,798.00	Professional		$3,798.00	$3,798.00	$3,798.00
United Facility/Professional Professional Modifier Low / Median / High Price $314.36 / $314.36 / $314.36	Professional		$314.36	$314.36	$314.36