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 $1,835.32 / $2,082.77 / $2,901.91	Professional		$1,835.32	$2,082.77	$2,901.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,234.00 / $4,286.00 / $10,043.00	Facility		$2,234.00	$4,286.00	$10,043.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.00 / $2,258.44 / $3,453.52	Professional		$1,612.00	$2,258.44	$3,453.52
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 $1,666.46 / $2,491.37 / $4,346.68	Professional		$1,666.46	$2,491.37	$4,346.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,599.46 / $2,505.81 / $5,061.13	Facility		$1,599.46	$2,505.81	$5,061.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,866.99 / $3,533.49 / $14,396.16	Professional		$1,866.99	$3,533.49	$14,396.16
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 $1,853.98 / $2,714.44 / $4,673.16	Professional		$1,853.98	$2,714.44	$4,673.16