Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.29 / $3,034.20 / $3,131.36	Facility		$2,051.29	$3,034.20	$3,131.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,051.29 / $2,696.17 / $4,273.52	Professional		$2,051.29	$2,696.17	$4,273.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,489.85 / $4,714.35 / $20,725.18	Facility		$4,489.85	$4,714.35	$20,725.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,496.98 / $2,670.21 / $3,632.49	Professional		$2,496.98	$2,670.21	$3,632.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,523.90 / $3,523.90 / $3,523.90	Facility		$3,523.90	$3,523.90	$3,523.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $2,572.44 / $3,629.62	Professional		$2,572.44	$2,572.44	$3,629.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,051.29 / $3,634.20 / $23,227.17	Facility		$2,051.29	$3,634.20	$23,227.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,817.10 / $2,463.48 / $4,662.14	Professional		$1,817.10	$2,463.48	$4,662.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,709.41 / $2,239.94 / $3,360.12	Professional		$1,709.41	$2,239.94	$3,360.12