Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $2,200.00	Facility		$2,200.00	$2,200.00	$2,200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,760.00 / $1,826.00 / $2,200.00	Professional		$1,760.00	$1,826.00	$2,200.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $52.93 / $2,805.00	Facility		$1.00	$52.93	$2,805.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,496.00 / $1,813.90 / $1,870.00	Professional		$1,496.00	$1,813.90	$1,870.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Facility		$1,870.00	$1,870.00	$1,870.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,870.00 / $1,870.00 / $1,870.00	Professional		$1,870.00	$1,870.00	$1,870.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,782.00 / $2,200.00 / $2,346.25	Facility		$1,782.00	$2,200.00	$2,346.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $5,046.58	Professional		$2,200.00	$2,200.00	$5,046.58
United Facility/Professional Professional Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $3,988.16	Professional		$2,200.00	$2,200.00	$3,988.16