Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,778.28	Professional		$1,000.00	$1,000.00	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,897.79	Facility		$2,630.27	$3,090.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,230.27 / $1,380.38	Professional		$1,096.48	$1,230.27	$1,380.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,089.30	Facility		$1,288.25	$1,621.81	$2,089.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,023.29 / $1,513.56	Facility		$1,000.00	$1,023.29	$1,513.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,412.54	Facility		$1,071.52	$1,071.52	$1,412.54