Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,500.00 / $6,120.00	Facility		$3,600.00	$4,500.00	$6,120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $4,482.00	Professional		$3,600.00	$3,600.00	$4,482.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,146.34 / $6,375.00 / $14,893.65	Facility		$4,146.34	$6,375.00	$14,893.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,375.00 / $3,375.00 / $4,500.00	Professional		$3,375.00	$3,375.00	$4,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Facility		$3,825.00	$3,825.00	$3,825.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,825.00 / $3,825.00 / $3,825.00	Professional		$3,825.00	$3,825.00	$3,825.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $4,500.00 / $20,731.70	Facility		$3,600.00	$4,500.00	$20,731.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,187.50 / $3,750.00 / $4,676.25	Professional		$3,187.50	$3,750.00	$4,676.25
United Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $3,750.00 / $4,410.00	Professional		$3,675.00	$3,750.00	$4,410.00