Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,644.00 / $4,644.00 / $4,644.00	Facility		$4,644.00	$4,644.00	$4,644.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $4,644.00	Professional		$3,715.20	$3,715.20	$4,644.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,914.61 / $5,340.60 / $6,811.20	Facility		$1,914.61	$5,340.60	$6,811.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $38,920.43	Professional		$3,870.00	$3,870.00	$38,920.43
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $4,644.00	Professional		$3,870.00	$3,870.00	$4,644.00