Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,610.00 / $12,154.00	Facility		$1,760.00	$4,610.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,442.54 / $2,249.28 / $2,914.88	Professional		$1,442.54	$2,249.28	$2,914.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,764.00 / $12,297.00 / $16,549.00	Facility		$9,764.00	$12,297.00	$16,549.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $410.05 / $996.20 / $2,568.86	Professional		$410.05	$996.20	$2,568.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,442.54 / $3,445.36 / $19,082.00	Facility		$1,442.54	$3,445.36	$19,082.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,196.99 / $2,485.69 / $27,827.90	Professional		$1,196.99	$2,485.69	$27,827.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,695.00 / $5,270.00 / $19,082.00	Facility		$2,695.00	$5,270.00	$19,082.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,259.03 / $2,048.62 / $4,856.82	Professional		$1,259.03	$2,048.62	$4,856.82