Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,901.18 / $1,901.18 / $8,500.00	Facility		$1,901.18	$1,901.18	$8,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,781.22 / $1,901.18 / $1,901.18	Professional		$1,781.22	$1,901.18	$1,901.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,638.88 / $3,961.22 / $4,748.64	Professional		$3,638.88	$3,961.22	$4,748.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,286.62 / $4,409.49 / $5,694.22	Professional		$2,286.62	$4,409.49	$5,694.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,901.18 / $2,643.74 / $5,703.54	Facility		$1,901.18	$2,643.74	$5,703.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,976.27 / $3,612.19 / $4,924.47	Professional		$1,976.27	$3,612.19	$4,924.47
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.05 / $4,103.32 / $4,924.47	Professional		$2,116.05	$4,103.32	$4,924.47