Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,875.32 / $1,875.32 / $1,875.32	Facility		$1,875.32	$1,875.32	$1,875.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.32 / $2,143.23 / $2,163.28	Professional		$1,875.32	$2,143.23	$2,163.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $3,523.90	Facility		$3,523.90	$3,523.90	$3,523.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $3,523.90 / $3,523.90	Professional		$2,572.44	$3,523.90	$3,523.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,407.71 / $2,625.09 / $23,227.17	Facility		$1,407.71	$2,625.09	$23,227.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,453.68 / $2,881.43 / $4,424.60	Professional		$1,453.68	$2,881.43	$4,424.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,453.68 / $2,089.50 / $3,284.65	Professional		$1,453.68	$2,089.50	$3,284.65