Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $6,300.00 / $6,300.00	Facility		$4,800.00	$6,300.00	$6,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $4,980.00	Professional		$4,800.00	$4,800.00	$4,980.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,062.94 / $7,038.75 / $13,160.00	Facility		$2,062.94	$7,038.75	$13,160.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $5,100.00 / $6,000.00	Professional		$4,500.00	$5,100.00	$6,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Facility		$5,100.00	$5,100.00	$5,100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $6,000.00 / $11,616.00	Facility		$4,800.00	$6,000.00	$11,616.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $22,800.00	Professional		$5,000.00	$5,000.00	$22,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $6,115.00	Professional		$5,000.00	$5,000.00	$6,115.00