Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,897.79 / $5,128.61	Facility		$1,584.89	$4,897.79	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $4,897.79 / $5,888.44	Professional		$1,584.89	$4,897.79	$5,888.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,248.07 / $17,378.01	Facility		$4,897.79	$5,248.07	$17,378.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $4,897.79	Professional		$1,047.13	$1,318.26	$4,897.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,897.79	Facility		$4,677.35	$4,677.35	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,011.87	Professional		$4,897.79	$4,897.79	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $6,309.57	Facility		$1,047.13	$1,479.11	$6,309.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,288.25	Professional		$776.25	$1,047.13	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,737.80	Facility		$1,047.13	$1,412.54	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $4,897.79 / $5,011.87	Professional		$1,047.13	$4,897.79	$5,011.87