Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,248.07	Facility		$4,265.80	$4,265.80	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,248.07	Professional		$4,265.80	$4,265.80	$5,248.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $323.59	Facility		$154.88	$204.17	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,466.84 / $6,760.83	Facility		$3,630.78	$4,466.84	$6,760.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $10,232.93	Professional		$5,248.07	$5,248.07	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,737.80	Facility		$1,122.02	$1,318.26	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,495.41	Professional		$5,248.07	$5,248.07	$5,495.41