Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $1,300.00	Facility		$1,300.00	$1,300.00	$1,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,040.00 / $1,300.00	Professional		$1,040.00	$1,040.00	$1,300.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Facility		$1,066.90	$1,066.90	$1,066.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,066.90 / $1,066.90 / $1,066.90	Professional		$1,066.90	$1,066.90	$1,066.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $809.51 / $1,307.58 / $1,664.00	Facility		$809.51	$1,307.58	$1,664.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $7,425.58	Professional		$1,235.00	$1,235.00	$7,425.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,300.00	Professional		$1,235.00	$1,235.00	$1,300.00