Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,672.47 / $4,827.46 / $5,744.55	Facility		$4,672.47	$4,827.46	$5,744.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,827.46 / $5,744.55	Professional		$4,686.85	$4,827.46	$5,744.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,686.85 / $5,108.67 / $16,835.16	Facility		$4,686.85	$5,108.67	$16,835.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $5,858.56	Professional		$4,686.85	$4,686.85	$5,858.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,421.56 / $4,421.56 / $4,686.85	Facility		$4,421.56	$4,421.56	$4,686.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,686.85 / $4,686.85 / $4,686.85	Professional		$4,686.85	$4,686.85	$4,686.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $4,511.02 / $5,388.30 / $23,438.30	Facility		$4,511.02	$5,388.30	$23,438.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,971.60 / $4,672.47 / $5,406.05	Professional		$3,971.60	$4,672.47	$5,406.05
United Facility/Professional Professional Modifier Low / Median / High Price $3,983.82 / $4,686.85 / $5,732.02	Professional		$3,983.82	$4,686.85	$5,732.02