Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,774.62 / $1,774.62 / $8,500.00	Facility		$1,774.62	$1,774.62	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,619.12 / $1,774.62 / $2,350.89	Professional		$1,619.12	$1,774.62	$2,350.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,571.34 / $3,955.78 / $4,638.37	Professional		$3,571.34	$3,955.78	$4,638.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,952.74 / $3,511.68 / $5,232.18	Professional		$1,952.74	$3,511.68	$5,232.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,667.41 / $2,307.01 / $3,833.00	Facility		$1,667.41	$2,307.01	$3,833.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,646.39 / $3,255.54 / $13,073.44	Professional		$1,646.39	$3,255.54	$13,073.44
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 $1,628.21 / $3,011.28 / $4,552.37	Professional		$1,628.21	$3,011.28	$4,552.37