Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,888.65 / $1,888.65 / $8,500.00	Facility		$1,888.65	$1,888.65	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,888.65 / $1,888.65 / $1,943.91	Professional		$1,888.65	$1,888.65	$1,943.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,660.75 / $3,979.42 / $4,701.72	Professional		$3,660.75	$3,979.42	$4,701.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,576.98 / $3,338.73 / $5,389.36	Professional		$2,576.98	$3,338.73	$5,389.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,888.65 / $2,418.54 / $5,665.95	Facility		$1,888.65	$2,418.54	$5,665.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,101.55 / $3,587.44 / $4,832.22	Professional		$2,101.55	$3,587.44	$4,832.22
United Facility/Professional Professional Modifier Low / Median / High Price $2,292.60 / $4,213.95 / $4,832.22	Professional		$2,292.60	$4,213.95	$4,832.22