Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $800.00 / $1,000.00	Facility		$800.00	$800.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $1,000.00	Professional		$800.00	$800.00	$1,000.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,011.50 / $1,190.00 / $1,379.71	Facility		$1,011.50	$1,190.00	$1,379.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $800.00 / $1,000.00 / $1,193.52	Facility		$800.00	$1,000.00	$1,193.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $339.20	Professional		$212.00	$212.00	$339.20
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $360.40	Professional		$212.00	$212.00	$360.40