Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,792.34 / $1,792.34 / $1,792.34	Facility		$1,792.34	$1,792.34	$1,792.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.83 / $1,174.29 / $1,792.34	Professional		$625.83	$1,174.29	$1,792.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,552.89 / $1,694.29 / $1,797.12	Facility		$1,552.89	$1,694.29	$1,797.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,681.71 / $1,681.71 / $1,681.71	Professional		$1,681.71	$1,681.71	$1,681.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $1,540.39	Facility		$1,540.39	$1,540.39	$1,540.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,540.39 / $3,151.88	Professional		$1,124.48	$1,540.39	$3,151.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $625.83 / $1,744.38 / $10,128.96	Facility		$625.83	$1,744.38	$10,128.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $646.26 / $1,079.82 / $2,072.66	Professional		$646.26	$1,079.82	$2,072.66
United Facility/Professional Professional Modifier Low / Median / High Price $646.26 / $1,076.22 / $1,446.23	Professional		$646.26	$1,076.22	$1,446.23