Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,840.00 / $3,840.00 / $3,840.00	Facility		$3,840.00	$3,840.00	$3,840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,072.00 / $3,072.00 / $3,840.00	Professional		$3,072.00	$3,072.00	$3,840.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Facility		$3,264.00	$3,264.00	$3,264.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,264.00	Professional		$3,264.00	$3,264.00	$3,264.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,960.00 / $4,915.20	Facility		$3,072.00	$3,960.00	$4,915.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $15,048.00	Professional		$3,200.00	$3,200.00	$15,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,840.00	Professional		$3,200.00	$3,200.00	$3,840.00