Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,673.36 / $2,673.36 / $2,673.36	Facility		$2,673.36	$2,673.36	$2,673.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.78 / $1,751.51 / $2,673.36	Professional		$1,039.78	$1,751.51	$2,673.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,449.21 / $2,672.22 / $2,834.40	Facility		$2,449.21	$2,672.22	$2,834.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,652.39 / $2,652.39 / $2,652.39	Professional		$2,652.39	$2,652.39	$2,652.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,017.28 / $2,017.28 / $2,017.28	Facility		$2,017.28	$2,017.28	$2,017.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $2,017.28 / $5,363.44	Professional		$1,472.61	$2,017.28	$5,363.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,039.78 / $2,601.82 / $17,217.72	Facility		$1,039.78	$2,601.82	$17,217.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,073.74 / $1,610.60 / $4,124.47	Professional		$1,073.74	$1,610.60	$4,124.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,073.74 / $1,610.60 / $2,157.12	Professional		$1,073.74	$1,610.60	$2,157.12