Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $4,610.00 / $8,000.00	Facility		$1,944.00	$4,610.00	$8,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,438.12 / $5,361.13 / $6,947.59	Professional		$3,438.12	$5,361.13	$6,947.59
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 / $858.60 / $2,568.86	Professional		$410.05	$858.60	$2,568.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,503.57 / $13,503.57 / $13,503.57	Professional		$13,503.57	$13,503.57	$13,503.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,170.31 / $5,444.53 / $19,082.00	Facility		$2,170.31	$5,444.53	$19,082.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,016.30 / $2,110.46 / $42,787.04	Professional		$1,016.30	$2,110.46	$42,787.04
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 $1,069.16 / $1,868.76 / $6,058.26	Professional		$1,069.16	$1,868.76	$6,058.26