Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,518.77 / $12,154.00	Facility		$1,760.00	$4,518.77	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,518.77 / $5,137.31 / $7,218.33	Professional		$4,518.77	$5,137.31	$7,218.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $4,358.00 / $12,405.97	Facility		$2,234.00	$4,358.00	$12,405.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,066.98 / $5,913.27 / $9,222.20	Professional		$4,066.98	$5,913.27	$9,222.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,530.00 / $2,530.00 / $2,530.00	Facility		$2,530.00	$2,530.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,655.43 / $6,362.12 / $10,290.09	Professional		$2,655.43	$6,362.12	$10,290.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,520.00 / $5,960.52 / $10,981.10	Facility		$2,520.00	$5,960.52	$10,981.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,449.89 / $9,005.06 / $35,138.96	Professional		$4,449.89	$9,005.06	$35,138.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,189.00 / $3,300.00 / $11,186.00	Facility		$1,189.00	$3,300.00	$11,186.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,504.87 / $6,927.85 / $11,835.54	Professional		$4,504.87	$6,927.85	$11,835.54