Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $8,511.38	Facility		$1,318.26	$1,412.54	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $2,041.74	Professional		$1,318.26	$1,412.54	$2,041.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,548.13	Professional		$2,454.71	$3,019.95	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $4,168.69	Professional		$1,778.28	$2,630.27	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $4,168.69	Facility		$1,412.54	$2,041.74	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $3,019.95	Professional		$1,412.54	$2,511.89	$3,019.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,041.74	Facility		$1,819.70	$2,041.74	$2,041.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $3,548.13	Professional		$1,412.54	$2,511.89	$3,548.13