Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,949.84 / $3,311.31	Facility		$1,819.70	$1,949.84	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,089.30	Professional		$1,819.70	$1,819.70	$2,089.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $85.11	Facility		$42.66	$63.10	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,819.70	Facility		$1,698.24	$1,698.24	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,819.70 / $1,819.70	Professional		$870.96	$1,819.70	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,819.70 / $2,818.38	Facility		$1,122.02	$1,819.70	$2,818.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,041.74	Professional		$1,548.82	$1,819.70	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,041.74	Professional		$1,548.82	$1,819.70	$2,041.74