Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,288.25	Professional		$1,174.90	$1,174.90	$1,288.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,698.24 / $4,168.69	Facility		$1,023.29	$1,698.24	$4,168.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,818.38	Professional		$1,202.26	$1,737.80	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,288.25 / $2,630.27	Facility		$218.78	$1,288.25	$2,630.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,380.38	Professional		$1,174.90	$1,174.90	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $1,949.84	Facility		$1,230.27	$1,949.84	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,122.02 / $1,202.26	Professional		$125.89	$1,122.02	$1,202.26