Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $5,248.07	Facility		$4,073.80	$4,073.80	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,168.69 / $5,011.87	Professional		$4,073.80	$4,168.69	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,570.88 / $10,964.78	Facility		$1,096.48	$4,570.88	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,011.87	Professional		$3,801.89	$3,801.89	$5,011.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $19,054.61	Facility		$4,073.80	$5,128.61	$19,054.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,025.60	Professional		$3,548.13	$4,168.69	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,698.24	Facility		$1,023.29	$1,023.29	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,897.79	Professional		$4,168.69	$4,168.69	$4,897.79