Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $4,261.00 / $8,000.00	Facility		$1,400.00	$4,261.00	$8,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $698.83 / $868.11 / $886.69	Professional		$698.83	$868.11	$886.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,449.00 / $10,043.00	Facility		$2,224.00	$4,449.00	$10,043.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $763.62 / $932.56 / $1,478.99	Professional		$763.62	$932.56	$1,478.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $679.33 / $1,150.22 / $1,993.50	Professional		$679.33	$1,150.22	$1,993.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $733.77 / $1,433.30 / $3,532.00	Facility		$733.77	$1,433.30	$3,532.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $846.62 / $1,390.15 / $6,219.71	Professional		$846.62	$1,390.15	$6,219.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,644.00 / $2,874.00 / $5,813.00	Facility		$1,644.00	$2,874.00	$5,813.00
United Facility/Professional Professional Modifier Low / Median / High Price $795.05 / $1,060.09 / $2,080.98	Professional		$795.05	$1,060.09	$2,080.98