Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,133.23 / $4,470.00 / $12,154.00	Facility		$2,133.23	$4,470.00	$12,154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,075.94 / $2,554.91 / $2,808.12	Professional		$2,075.94	$2,554.91	$2,808.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,224.00 / $4,517.00 / $14,717.03	Facility		$2,224.00	$4,517.00	$14,717.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,076.00 / $3,003.97 / $4,454.29	Professional		$2,076.00	$3,003.97	$4,454.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,140.29 / $3,541.45 / $5,495.97	Professional		$2,140.29	$3,541.45	$5,495.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $2,872.76 / $8,000.00	Facility		$1,120.00	$2,872.76	$8,000.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,657.28 / $4,705.43 / $17,960.64	Professional		$2,657.28	$4,705.43	$17,960.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,185.00 / $3,233.00 / $11,489.00	Facility		$1,185.00	$3,233.00	$11,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,657.28 / $3,909.35 / $6,329.62	Professional		$2,657.28	$3,909.35	$6,329.62