Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.90 / $1,484.94 / $1,532.48	Facility		$1,003.90	$1,484.94	$1,532.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,003.90 / $1,150.30 / $2,091.46	Professional		$1,003.90	$1,150.30	$2,091.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,197.34 / $2,307.21 / $10,142.92	Facility		$2,197.34	$2,307.21	$10,142.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,088.08 / $1,106.79 / $1,777.74	Professional		$1,088.08	$1,106.79	$1,777.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,349.13 / $1,349.13 / $1,349.13	Facility		$1,349.13	$1,349.13	$1,349.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $984.86	Professional		$984.86	$984.86	$984.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,003.90 / $1,770.87 / $9,687.79	Facility		$1,003.90	$1,770.87	$9,687.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $753.18 / $1,174.56 / $1,932.44	Professional		$753.18	$1,174.56	$1,932.44
United Facility/Professional Professional Modifier Low / Median / High Price $753.18 / $1,096.23 / $1,556.05	Professional		$753.18	$1,096.23	$1,556.05