Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,054.42 / $6,846.00 / $12,165.01	Facility		$2,054.42	$6,846.00	$12,165.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,497.00 / $5,963.00 / $14,908.00	Facility		$2,497.00	$5,963.00	$14,908.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,806.00 / $14,734.00 / $22,543.00	Facility		$10,806.00	$14,734.00	$22,543.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,416.85 / $2,401.15 / $6,038.00	Facility		$1,416.85	$2,401.15	$6,038.00
Medica Facility/Professional Facility Modifier 62 Low / Median / High Price $2,343.42 / $13,156.44 / $13,156.44	Facility	62	$2,343.42	$13,156.44	$13,156.44
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $374.95 / $2,105.03 / $2,105.03	Facility	AS	$374.95	$2,105.03	$2,105.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,209.00 / $6,120.00 / $12,989.00	Facility		$2,209.00	$6,120.00	$12,989.00