Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,862.09	Facility		$1,621.81	$1,621.81	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,715.35	Professional		$1,288.25	$1,698.24	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $10,964.78	Facility		$3,162.28	$3,162.28	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $2,884.03	Professional		$1,659.59	$1,737.80	$2,884.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,162.28	Professional		$1,905.46	$1,905.46	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $1,819.70	Facility		$1,412.54	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,819.70	Professional		$1,318.26	$1,318.26	$1,819.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,511.89 / $15,135.61	Facility		$1,621.81	$2,511.89	$15,135.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $19,054.61	Professional		$1,148.15	$1,548.82	$19,054.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $2,454.71	Facility		$1,348.96	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,238.72	Professional		$1,148.15	$1,513.56	$2,238.72