Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,680.00 / $3,680.00 / $3,680.00	Facility		$3,680.00	$3,680.00	$3,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,944.00 / $2,944.00 / $3,680.00	Professional		$2,944.00	$2,944.00	$3,680.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Facility		$3,128.00	$3,128.00	$3,128.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,128.00 / $3,128.00 / $3,128.00	Professional		$3,128.00	$3,128.00	$3,128.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $1,334.00 / $1,787.56	Facility		$575.00	$1,334.00	$1,787.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $4,991.00	Professional		$3,200.00	$3,200.00	$4,991.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,603.71	Professional		$3,200.00	$3,200.00	$3,603.71