Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,298.96 / $5,560.00 / $13,151.00	Facility		$2,298.96	$5,560.00	$13,151.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,298.96 / $2,753.39 / $7,195.86	Professional		$2,298.96	$2,753.39	$7,195.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,232.00 / $6,492.00 / $15,862.67	Facility		$2,232.00	$6,492.00	$15,862.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,572.96 / $3,247.82 / $4,863.72	Professional		$2,572.96	$3,247.82	$4,863.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,671.63 / $3,689.49 / $5,884.61	Professional		$2,671.63	$3,689.49	$5,884.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,528.86 / $4,107.78 / $9,475.00	Facility		$2,528.86	$4,107.78	$9,475.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,823.79 / $4,326.35 / $19,353.91	Professional		$2,823.79	$4,326.35	$19,353.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,578.00 / $6,653.00 / $19,082.00	Facility		$2,578.00	$6,653.00	$19,082.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,636.61 / $3,927.08 / $6,190.52	Professional		$2,636.61	$3,927.08	$6,190.52