Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,053.00 / $1,053.00 / $1,053.00	Facility		$1,053.00	$1,053.00	$1,053.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,040.00 / $1,053.00 / $1,079.00	Professional		$1,040.00	$1,053.00	$1,079.00
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 / $1,053.00 / $6,867.59	Facility		$809.51	$1,053.00	$6,867.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,514.11	Professional		$1,235.00	$1,235.00	$1,514.11
United Facility/Professional Professional Modifier Low / Median / High Price $1,235.00 / $1,235.00 / $1,323.44	Professional		$1,235.00	$1,235.00	$1,323.44