Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,011.87 / $21,877.62	Facility		$1,584.89	$5,011.87	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $5,011.87 / $5,754.40	Professional		$1,584.89	$5,011.87	$5,754.40
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,288.25	Facility		$1,230.27	$1,288.25	$1,288.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,897.79 / $4,897.79	Facility		$4,677.35	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $1,584.89	Facility		$1,047.13	$1,258.93	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,548.82	Professional		$1,047.13	$1,047.13	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $4,897.79	Facility		$1,047.13	$1,047.13	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $4,897.79 / $4,897.79	Professional		$1,047.13	$4,897.79	$4,897.79