Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,600.00 / $12,154.00	Facility		$1,500.00	$3,600.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $943.58 / $1,191.83 / $1,619.11	Professional		$943.58	$1,191.83	$1,619.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $624.00 / $624.00	Facility		$624.00	$624.00	$624.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,510.74 / $1,510.74 / $1,510.74	Professional		$1,510.74	$1,510.74	$1,510.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,084.57 / $1,299.86 / $3,986.00	Facility		$1,084.57	$1,299.86	$3,986.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,343.00 / $3,054.55 / $8,918.24	Professional		$1,343.00	$3,054.55	$8,918.24
United Facility/Professional Facility Modifier Low / Median / High Price $783.00 / $1,743.00 / $5,562.00	Facility		$783.00	$1,743.00	$5,562.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,343.00 / $2,837.43 / $4,564.56	Professional		$1,343.00	$2,837.43	$4,564.56