Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $104.69 / $104.69	Facility		$104.69	$104.69	$104.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $104.69 / $690.00	Professional		$104.69	$104.69	$690.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,452.73 / $3,549.39 / $6,139.22	Facility		$2,452.73	$3,549.39	$6,139.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.19 / $105.19 / $105.19	Facility		$105.19	$105.19	$105.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.69 / $172.74 / $198.91	Facility		$104.69	$172.74	$198.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $270.97 / $270.97 / $270.97	Professional		$270.97	$270.97	$270.97