Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.00 / $3,885.00 / $12,154.00	Facility		$1,777.00	$3,885.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.80 / $1,575.22 / $2,003.57	Professional		$1,287.80	$1,575.22	$2,003.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,791.21 / $3,617.40 / $4,334.51	Facility		$2,791.21	$3,617.40	$4,334.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,812.36 / $2,132.19 / $2,311.12	Professional		$1,812.36	$2,132.19	$2,311.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $505.00 / $505.00	Facility		$505.00	$505.00	$505.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,323.99 / $2,116.73 / $2,662.25	Professional		$1,323.99	$2,116.73	$2,662.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,287.80 / $2,079.09 / $26,542.00	Facility		$1,287.80	$2,079.09	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,562.86 / $1,762.43 / $12,056.47	Professional		$1,562.86	$1,762.43	$12,056.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,779.00 / $3,647.00 / $6,988.00	Facility		$1,779.00	$3,647.00	$6,988.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,527.60 / $1,653.29 / $3,261.05	Professional		$1,527.60	$1,653.29	$3,261.05