Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,456.54 / $7,413.10	Facility		$3,715.35	$6,456.54	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $6,456.54	Professional		$2,570.40	$3,311.31	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $13,489.63	Facility		$3,890.45	$3,890.45	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $6,918.31	Professional		$1,548.82	$1,778.28	$6,918.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,754.40 / $10,000.00	Facility		$5,370.32	$5,754.40	$10,000.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,890.45 / $6,606.93	Professional		$2,691.53	$3,890.45	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $7,585.78 / $9,332.54	Facility		$5,370.32	$7,585.78	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,715.35 / $5,623.41	Professional		$1,778.28	$3,715.35	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $18,197.01	Facility		$3,311.31	$4,677.35	$18,197.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $19,498.45	Professional		$1,621.81	$2,344.23	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $4,677.35	Facility		$1,621.81	$3,890.45	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,265.80	Professional		$1,621.81	$2,344.23	$4,265.80