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 / $12,154.00	Facility		$1,760.00	$4,261.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,483.40 / $2,820.54 / $3,968.64	Professional		$2,483.40	$2,820.54	$3,968.64
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 $2,430.15 / $3,205.78 / $4,958.58	Professional		$2,430.15	$3,205.78	$4,958.58
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 $2,366.55 / $3,520.74 / $5,985.23	Professional		$2,366.55	$3,520.74	$5,985.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,216.42 / $3,328.80 / $6,779.68	Facility		$2,216.42	$3,328.80	$6,779.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,664.32 / $4,872.68 / $19,403.20	Professional		$2,664.32	$4,872.68	$19,403.20
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 $2,558.79 / $3,648.19 / $6,395.42	Professional		$2,558.79	$3,648.19	$6,395.42