Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.00 / $960.00 / $1,142.41	Facility		$768.00	$960.00	$1,142.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.00 / $768.00 / $1,139.00	Professional		$768.00	$768.00	$1,139.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,222.38 / $4,103.54	Facility		$1,080.00	$1,222.38	$4,103.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,173.06 / $1,173.06 / $1,466.33	Professional		$1,173.06	$1,173.06	$1,466.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Facility		$816.00	$816.00	$816.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $799.03 / $2,740.19 / $14,196.10	Facility		$799.03	$2,740.19	$14,196.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $680.00 / $800.00 / $1,125.00	Professional		$680.00	$800.00	$1,125.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.00 / $800.00 / $1,500.00	Professional		$724.00	$800.00	$1,500.00