Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,500.15 / $3,500.15 / $3,500.15	Facility		$3,500.15	$3,500.15	$3,500.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,696.25 / $3,486.00 / $3,622.35	Professional		$2,696.25	$3,486.00	$3,622.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,123.75 / $3,687.86 / $3,740.78	Professional		$3,123.75	$3,687.86	$3,740.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,384.12 / $3,384.12 / $5,971.32	Professional		$3,384.12	$3,384.12	$5,971.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,500.15 / $4,550.20 / $5,985.00	Facility		$3,500.15	$4,550.20	$5,985.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $24,051.83	Professional		$4,200.00	$4,200.00	$24,051.83
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $4,620.00	Professional		$4,200.00	$4,200.00	$4,620.00