Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,677.35 / $8,511.38	Facility		$1,778.28	$4,677.35	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $4,168.69	Professional		$1,202.26	$1,513.56	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,677.35 / $8,912.51	Facility		$2,238.72	$4,677.35	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,630.27	Professional		$1,380.38	$1,737.80	$2,630.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $2,089.30	Professional		$1,230.27	$1,479.11	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $3,019.95	Professional		$1,318.26	$1,862.09	$3,019.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,041.74 / $5,248.07	Facility		$1,000.00	$2,041.74	$5,248.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $11,481.54	Professional		$1,348.96	$1,995.26	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $7,943.28	Facility		$2,454.71	$3,311.31	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,570.40	Professional		$1,230.27	$1,659.59	$2,570.40