Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.10 / $2,269.40 / $9,856.56	Facility		$1,737.10	$2,269.40	$9,856.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,866.11 / $13,257.66	Professional		$1,730.32	$1,866.11	$13,257.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,730.32 / $2,941.54 / $6,215.31	Facility		$1,730.32	$2,941.54	$6,215.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $2,162.90	Professional		$1,730.32	$1,730.32	$2,162.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,632.38 / $1,632.38 / $1,730.32	Facility		$1,632.38	$1,632.38	$1,730.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $1,730.32	Professional		$1,730.32	$1,730.32	$1,730.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,692.61 / $1,946.50 / $8,351.50	Facility		$1,692.61	$1,946.50	$8,351.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,572.08 / $1,737.10 / $2,067.15	Professional		$1,572.08	$1,737.10	$2,067.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,670.30 / $1,670.30 / $1,670.30	Facility		$1,670.30	$1,670.30	$1,670.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,730.32 / $1,730.32 / $2,154.50	Professional		$1,730.32	$1,730.32	$2,154.50