Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.69 / $1,230.69 / $1,813.86	Facility		$1,230.69	$1,230.69	$1,813.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,185.10 / $1,230.69 / $1,304.11	Professional		$1,185.10	$1,230.69	$1,304.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.80 / $1,638.80 / $1,638.80	Facility		$1,638.80	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $2,937.00	Professional		$1,196.32	$1,196.32	$2,937.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $783.77 / $1,613.54 / $12,562.85	Facility		$783.77	$1,613.54	$12,562.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $809.37 / $1,244.28 / $2,574.23	Professional		$809.37	$1,244.28	$2,574.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,011.72 / $1,011.72 / $1,011.72	Facility		$1,011.72	$1,011.72	$1,011.72
United Facility/Professional Professional Modifier Low / Median / High Price $809.37 / $1,214.06 / $1,741.72	Professional		$809.37	$1,214.06	$1,741.72