Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,830.00 / $4,830.00 / $4,830.00	Facility		$4,830.00	$4,830.00	$4,830.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,864.00 / $3,864.00 / $4,830.00	Professional		$3,864.00	$3,864.00	$4,830.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Facility		$4,105.50	$4,105.50	$4,105.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,105.50 / $4,105.50 / $4,105.50	Professional		$4,105.50	$4,105.50	$4,105.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,864.00 / $4,830.00 / $5,264.70	Facility		$3,864.00	$4,830.00	$5,264.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $16,905.00	Professional		$4,200.00	$4,200.00	$16,905.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,200.00 / $4,200.00 / $6,090.00	Professional		$4,200.00	$4,200.00	$6,090.00