Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,861.13 / $3,837.60 / $4,029.48	Facility		$1,861.13	$3,837.60	$4,029.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,883.58 / $4,029.48	Professional		$1,828.72	$1,883.58	$4,029.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,828.72 / $3,108.82 / $6,568.73	Facility		$1,828.72	$3,108.82	$6,568.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,828.72 / $1,828.72 / $2,285.90	Professional		$1,828.72	$1,828.72	$2,285.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,725.20 / $1,725.20 / $1,828.71	Facility		$1,725.20	$1,725.20	$1,828.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,828.71 / $1,828.71 / $1,828.71	Professional		$1,828.71	$1,828.71	$1,828.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,861.13 / $3,565.20 / $15,218.75	Facility		$1,861.13	$3,565.20	$15,218.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,581.96 / $1,861.13 / $2,153.33	Professional		$1,581.96	$1,861.13	$2,153.33
United Facility/Professional Professional Modifier Low / Median / High Price $1,554.41 / $1,828.72 / $2,236.52	Professional		$1,554.41	$1,828.72	$2,236.52