Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,386.40 / $4,080.00	Professional		$3,264.00	$3,386.40	$4,080.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,034.50 / $3,587.85 / $3,633.90	Professional		$3,034.50	$3,587.85	$3,633.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $5,026.56 / $6,976.80	Facility		$3,264.00	$5,026.56	$6,976.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $15,504.00	Professional		$3,400.00	$3,400.00	$15,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $3,808.00	Professional		$3,400.00	$3,400.00	$3,808.00