Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,789.00 / $1,789.00 / $1,789.00	Facility		$1,789.00	$1,789.00	$1,789.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,789.00 / $2,044.58 / $2,063.71	Professional		$1,789.00	$2,044.58	$2,063.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $3,006.81	Facility		$3,006.81	$3,006.81	$3,006.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $3,006.81 / $3,006.81	Professional		$2,194.96	$3,006.81	$3,006.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,342.91 / $2,504.26 / $22,146.98	Facility		$1,342.91	$2,504.26	$22,146.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,386.78 / $2,748.81 / $4,220.95	Professional		$1,386.78	$2,748.81	$4,220.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,386.78 / $2,080.16 / $3,133.47	Professional		$1,386.78	$2,080.16	$3,133.47