Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $737.82 / $1,888.00 / $2,048.35	Professional		$737.82	$1,888.00	$2,048.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.04 / $85.04 / $106.30	Facility		$85.04	$85.04	$106.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,658.20 / $2,210.94 / $3,675.68	Professional		$1,658.20	$2,210.94	$3,675.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,208.78 / $1,208.78 / $1,208.78	Facility		$1,208.78	$1,208.78	$1,208.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,027.46 / $1,208.78 / $3,123.75	Professional		$1,027.46	$1,208.78	$3,123.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $1,684.13 / $12,092.66	Facility		$737.82	$1,684.13	$12,092.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $792.51 / $1,134.22 / $1,721.59	Professional		$792.51	$1,134.22	$1,721.59
United Facility/Professional Professional Modifier Low / Median / High Price $901.79 / $1,134.22 / $1,639.61	Professional		$901.79	$1,134.22	$1,639.61