Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,941.20 / $6,284.00 / $13,480.32	Facility		$1,941.20	$6,284.00	$13,480.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,576.28 / $1,598.22 / $3,903.26	Professional		$1,576.28	$1,598.22	$3,903.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,521.00 / $1,938.93 / $2,899.66	Professional		$1,521.00	$1,938.93	$2,899.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.42 / $2,265.51 / $3,999.50	Professional		$1,381.42	$2,265.51	$3,999.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,598.22 / $2,741.70 / $26,542.00	Facility		$1,598.22	$2,741.70	$26,542.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,648.98 / $2,667.25 / $11,748.16	Professional		$1,648.98	$2,667.25	$11,748.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,156.00 / $4,000.00 / $10,781.00	Facility		$2,156.00	$4,000.00	$10,781.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,616.96 / $2,282.96 / $3,581.89	Professional		$1,616.96	$2,282.96	$3,581.89