Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,262.81 / $1,262.81 / $8,500.00	Facility		$1,262.81	$1,262.81	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,262.81 / $1,262.81 / $1,300.78	Professional		$1,262.81	$1,262.81	$1,300.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,470.53 / $2,695.51 / $3,184.77	Professional		$2,470.53	$2,695.51	$3,184.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,587.47 / $2,238.89 / $3,614.00	Professional		$1,587.47	$2,238.89	$3,614.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,262.81 / $1,718.57 / $3,788.43	Facility		$1,262.81	$1,718.57	$3,788.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,371.56 / $2,456.71 / $3,228.11	Professional		$1,371.56	$2,456.71	$3,228.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,439.16 / $2,616.66 / $3,228.11	Professional		$1,439.16	$2,616.66	$3,228.11