Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $4,160.00 / $8,000.00	Facility		$1,258.00	$4,160.00	$8,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $677.40 / $819.35 / $1,484.92	Professional		$677.40	$819.35	$1,484.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $821.00 / $1,963.00 / $4,958.00	Facility		$821.00	$1,963.00	$4,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $754.12 / $987.20 / $1,471.02	Professional		$754.12	$987.20	$1,471.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $800.94 / $1,130.74 / $1,965.66	Professional		$800.94	$1,130.74	$1,965.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $792.04 / $1,731.48 / $26,542.00	Facility		$792.04	$1,731.48	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $782.41 / $1,159.33 / $6,791.44	Professional		$782.41	$1,159.33	$6,791.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,813.00	Facility		$1,644.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $772.68 / $1,054.79 / $1,746.09	Professional		$772.68	$1,054.79	$1,746.09