Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.32 / $1,919.32 / $3,304.80	Facility		$1,919.32	$1,919.32	$3,304.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,304.80 / $3,386.40	Professional		$3,264.00	$3,304.80	$3,386.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $4,080.00	Facility		$3,468.00	$3,468.00	$4,080.00
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 $3,192.00 / $3,304.80 / $4,461.47	Facility		$3,192.00	$3,304.80	$4,461.47
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 / $3,643.47	Professional		$3,400.00	$3,400.00	$3,643.47