Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.00 / $2,000.00 / $3,000.00	Facility		$1,070.00	$2,000.00	$3,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $810.00 / $972.00	Professional		$810.00	$810.00	$972.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Facility		$212.00	$212.00	$212.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $972.00 / $1,158.30	Facility		$850.00	$972.00	$1,158.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $212.00 / $212.00	Professional		$212.00	$212.00	$212.00