Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.20 / $4,644.00 / $4,876.20	Facility		$3,715.20	$4,644.00	$4,876.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.20 / $3,715.20 / $3,854.52	Professional		$3,715.20	$3,715.20	$3,854.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,914.61 / $6,532.65 / $10,185.84	Facility		$1,914.61	$6,532.65	$10,185.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,483.00 / $3,483.00 / $4,644.00	Professional		$3,483.00	$3,483.00	$4,644.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Facility		$3,947.40	$3,947.40	$3,947.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,947.40 / $3,947.40 / $3,947.40	Professional		$3,947.40	$3,947.40	$3,947.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,914.61 / $5,542.71 / $35,376.98	Facility		$1,914.61	$5,542.71	$35,376.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,502.35 / $3,870.00 / $5,576.67	Professional		$3,502.35	$3,870.00	$5,576.67
United Facility/Professional Professional Modifier Low / Median / High Price $3,870.00 / $3,870.00 / $4,551.12	Professional		$3,870.00	$3,870.00	$4,551.12