Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.61 / $1,953.61 / $8,500.00	Facility		$1,953.61	$1,953.61	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,780.30 / $1,953.61 / $2,583.27	Professional		$1,780.30	$1,953.61	$2,583.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,944.49 / $4,339.13 / $5,087.87	Professional		$3,944.49	$4,339.13	$5,087.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.57 / $3,852.23 / $5,739.57	Professional		$2,168.57	$3,852.23	$5,739.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,829.00 / $2,471.62 / $4,213.97	Facility		$1,829.00	$2,471.62	$4,213.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,812.43 / $3,583.90 / $14,354.56	Professional		$1,812.43	$3,583.90	$14,354.56
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 $1,789.43 / $3,500.28 / $5,012.39	Professional		$1,789.43	$3,500.28	$5,012.39