Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.54 / $1,339.54 / $8,500.00	Facility		$1,339.54	$1,339.54	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,339.54 / $1,339.54 / $1,404.07	Professional		$1,339.54	$1,339.54	$1,404.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,627.50 / $2,867.40 / $3,387.86	Professional		$2,627.50	$2,867.40	$3,387.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,799.40 / $2,417.94 / $3,903.04	Professional		$1,799.40	$2,417.94	$3,903.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,339.54 / $1,844.22 / $4,018.62	Facility		$1,339.54	$1,844.22	$4,018.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,385.88 / $2,544.56 / $3,436.46	Professional		$1,385.88	$2,544.56	$3,436.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,978.00 / $1,978.00 / $1,978.00	Facility		$1,978.00	$1,978.00	$1,978.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.13 / $2,710.22 / $3,135.21	Professional		$1,626.13	$2,710.22	$3,135.21