Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,123.80 / $3,684.00 / $18,600.00	Facility		$1,123.80	$3,684.00	$18,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,123.80 / $1,123.80 / $1,123.80	Professional		$1,123.80	$1,123.80	$1,123.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,900.00 / $1,900.00 / $5,000.00	Facility		$1,900.00	$1,900.00	$5,000.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $580.00 / $1,315.00 / $7,223.00	Facility		$580.00	$1,315.00	$7,223.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,235.94 / $1,758.09 / $10,512.16	Professional		$1,235.94	$1,758.09	$10,512.16
United Facility/Professional Facility Modifier Low / Median / High Price $350.00 / $1,760.00 / $6,155.68	Facility		$350.00	$1,760.00	$6,155.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,163.24 / $1,606.80 / $2,383.15	Professional		$1,163.24	$1,606.80	$2,383.15