Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,704.00 / $4,261.00 / $8,000.00	Facility		$1,704.00	$4,261.00	$8,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,324.33 / $1,643.83 / $1,877.56	Professional		$1,324.33	$1,643.83	$1,877.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,490.00 / $10,961.39	Facility		$2,224.00	$4,490.00	$10,961.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,669.00 / $2,058.13 / $3,148.16	Professional		$1,669.00	$2,058.13	$3,148.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,535.10 / $2,479.92 / $4,204.01	Professional		$1,535.10	$2,479.92	$4,204.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,181.96 / $2,337.65 / $5,246.07	Facility		$1,181.96	$2,337.65	$5,246.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,724.39 / $2,670.99 / $12,860.16	Professional		$1,724.39	$2,670.99	$12,860.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,748.00 / $3,502.00 / $6,854.00	Facility		$1,748.00	$3,502.00	$6,854.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,693.18 / $2,247.15 / $3,787.78	Professional		$1,693.18	$2,247.15	$3,787.78