Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,912.30 / $3,912.30 / $3,912.30	Facility		$3,912.30	$3,912.30	$3,912.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,912.30 / $3,912.30 / $3,960.60	Professional		$3,912.30	$3,912.30	$3,960.60
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 $3,912.30 / $4,107.92 / $4,890.38	Facility		$3,912.30	$4,107.92	$4,890.38
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 $4,036.20 / $4,200.00 / $4,631.34	Professional		$4,036.20	$4,200.00	$4,631.34