Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $1,500.00 / $1,500.00	Facility		$1,500.00	$1,500.00	$1,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,500.00	Professional		$1,200.00	$1,200.00	$1,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,635.00	Facility		$1,200.00	$1,200.00	$1,635.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $5,250.00	Professional		$1,250.00	$1,250.00	$5,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,470.00	Professional		$1,250.00	$1,250.00	$1,470.00