Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.00 / $1,620.00 / $1,620.00	Facility		$1,620.00	$1,620.00	$1,620.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,296.00 / $1,620.00	Professional		$1,296.00	$1,296.00	$1,620.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,296.00 / $1,516.32 / $3,499.20	Facility		$1,296.00	$1,516.32	$3,499.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $5,814.00	Professional		$1,350.00	$1,350.00	$5,814.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,587.60	Professional		$1,350.00	$1,350.00	$1,587.60