Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $4,261.00 / $12,174.00	Facility		$1,760.00	$4,261.00	$12,174.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,601.65 / $2,956.61 / $4,245.25	Professional		$2,601.65	$2,956.61	$4,245.25
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 $2,559.35 / $3,365.08 / $5,441.97	Professional		$2,559.35	$3,365.08	$5,441.97
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 $2,242.88 / $3,797.28 / $5,945.84	Professional		$2,242.88	$3,797.28	$5,945.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,214.00 / $3,557.14 / $7,102.50	Facility		$2,214.00	$3,557.14	$7,102.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,689.72 / $5,178.07 / $20,305.84	Professional		$2,689.72	$5,178.07	$20,305.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,395.00 / $2,849.00 / $8,198.00	Facility		$1,395.00	$2,849.00	$8,198.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,540.29 / $3,964.20 / $7,029.74	Professional		$2,540.29	$3,964.20	$7,029.74