Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,243.00 / $5,192.00 / $12,600.00	Facility		$2,243.00	$5,192.00	$12,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.13 / $1,340.07 / $2,013.28	Professional		$1,167.13	$1,340.07	$2,013.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,687.85 / $1,985.70 / $1,985.70	Professional		$1,687.85	$1,985.70	$1,985.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $8,660.00 / $8,660.00	Facility		$624.00	$8,660.00	$8,660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.40 / $1,681.85 / $2,560.76	Professional		$1,301.40	$1,681.85	$2,560.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,292.26 / $2,013.28 / $12,989.00	Facility		$1,292.26	$2,013.28	$12,989.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,332.43 / $1,604.04 / $9,423.28	Professional		$1,332.43	$1,604.04	$9,423.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,269.00 / $6,407.00 / $12,989.00	Facility		$2,269.00	$6,407.00	$12,989.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,332.43 / $1,515.84 / $2,157.16	Professional		$1,332.43	$1,515.84	$2,157.16