Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $4,500.00	Professional		$3,600.00	$3,600.00	$4,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,500.00 / $5,370.84	Facility		$3,600.00	$4,500.00	$5,370.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $17,100.00	Professional		$3,750.00	$3,750.00	$17,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,750.00 / $3,750.00 / $4,500.00	Professional		$3,750.00	$3,750.00	$4,500.00