Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,548.13	Facility		$2,089.30	$2,089.30	$3,548.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,570.40	Professional		$2,089.30	$2,137.96	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $2,187.76 / $2,187.76	Professional		$257.04	$2,187.76	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $3,019.95	Facility		$1,513.56	$2,187.76	$3,019.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $2,137.96	Professional		$1,949.84	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,290.87	Professional		$2,137.96	$2,137.96	$2,290.87