Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,934.14 / $2,860.91 / $2,952.53	Facility		$1,934.14	$2,860.91	$2,952.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,934.14 / $2,216.19 / $4,029.45	Professional		$1,934.14	$2,216.19	$4,029.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,233.43 / $4,445.10 / $19,541.56	Facility		$4,233.43	$4,445.10	$19,541.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,228.98 / $2,396.26 / $3,425.03	Professional		$2,228.98	$2,396.26	$3,425.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,728.17 / $2,728.17 / $2,728.17	Facility		$2,728.17	$2,728.17	$2,728.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $1,991.56	Professional		$1,991.56	$1,991.56	$1,991.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,963.99 / $3,411.81 / $20,802.65	Facility		$1,963.99	$3,411.81	$20,802.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,648.40 / $2,288.02 / $4,006.13	Professional		$1,648.40	$2,288.02	$4,006.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,648.40 / $2,133.67 / $3,048.16	Professional		$1,648.40	$2,133.67	$3,048.16