Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,256.48 / $3,337.72 / $3,444.61	Facility		$2,256.48	$3,337.72	$3,444.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,256.48 / $2,585.56 / $4,701.01	Professional		$2,256.48	$2,585.56	$4,701.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,939.00 / $5,185.95 / $22,798.42	Facility		$4,939.00	$5,185.95	$22,798.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,410.17 / $2,516.48 / $3,995.86	Professional		$2,410.17	$2,516.48	$3,995.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,364.97 / $3,364.97 / $3,364.97	Facility		$3,364.97	$3,364.97	$3,364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,456.42 / $3,587.23	Professional		$2,456.42	$2,456.42	$3,587.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,256.48 / $3,980.43 / $21,225.02	Facility		$2,256.48	$3,980.43	$21,225.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,691.28 / $2,640.08 / $4,158.85	Professional		$1,691.28	$2,640.08	$4,158.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,691.28 / $2,464.01 / $3,497.55	Professional		$1,691.28	$2,464.01	$3,497.55