Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,382.74 / $1,382.74 / $8,500.00	Facility		$1,382.74	$1,382.74	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,265.58 / $1,382.74 / $1,831.12	Professional		$1,265.58	$1,382.74	$1,831.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,755.49 / $3,087.09 / $3,619.78	Professional		$2,755.49	$3,087.09	$3,619.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,508.40 / $2,747.75 / $4,093.97	Professional		$1,508.40	$2,747.75	$4,093.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,301.38 / $1,797.56 / $2,981.28	Facility		$1,301.38	$1,797.56	$2,981.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,286.81 / $2,536.64 / $11,913.39	Professional		$1,286.81	$2,536.64	$11,913.39
United Facility/Professional Facility Modifier Low / Median / High Price $681.00 / $681.00 / $681.00	Facility		$681.00	$681.00	$681.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,263.33 / $2,362.76 / $3,549.02	Professional		$1,263.33	$2,362.76	$3,549.02