Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.00 / $4,610.00 / $8,000.00	Facility		$1,704.00	$4,610.00	$8,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $367.50 / $367.50	Professional		$367.50	$367.50	$367.50
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 $102.00 / $120.00 / $180.00	Professional		$102.00	$120.00	$180.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.05 / $404.85 / $588.92	Professional		$326.05	$404.85	$588.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $367.50 / $1,829.00 / $26,542.00	Facility		$367.50	$1,829.00	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,295.27 / $2,295.27 / $2,295.27	Professional		$2,295.27	$2,295.27	$2,295.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,748.00 / $3,502.00 / $6,854.00	Facility		$1,748.00	$3,502.00	$6,854.00