Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $4,073.80	Professional		$1,819.70	$2,570.40	$4,073.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,801.89 / $4,073.80	Facility		$3,630.78	$3,801.89	$4,073.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $6,025.60	Professional		$2,398.83	$2,398.83	$6,025.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,467.37 / $10,964.78	Facility		$1,348.96	$3,467.37	$10,964.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $26,915.35	Professional		$1,412.54	$2,454.71	$26,915.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,981.07 / $3,981.07	Facility		$2,818.38	$3,981.07	$3,981.07
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,454.71 / $3,311.31	Professional		$1,621.81	$2,454.71	$3,311.31