Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,507.00 / $5,560.00 / $12,154.00	Facility		$2,507.00	$5,560.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,524.30 / $5,140.67 / $11,874.44	Professional		$4,524.30	$5,140.67	$11,874.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,410.00 / $5,617.00 / $10,961.00	Facility		$2,410.00	$5,617.00	$10,961.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,910.83 / $5,771.93 / $9,277.77	Professional		$3,910.83	$5,771.93	$9,277.77
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 $4,180.30 / $6,574.84 / $10,906.30	Professional		$4,180.30	$6,574.84	$10,906.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,214.00 / $6,166.55 / $10,994.52	Facility		$2,214.00	$6,166.55	$10,994.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $4,896.53 / $8,911.43 / $35,203.28	Professional		$4,896.53	$8,911.43	$35,203.28
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 $4,697.03 / $6,780.80 / $11,651.27	Professional		$4,697.03	$6,780.80	$11,651.27