Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $2,454.71	Facility		$1,659.59	$2,454.71	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $5,370.32	Professional		$1,513.56	$2,041.74	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $13,182.57	Facility		$3,715.35	$3,715.35	$13,182.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $3,467.37	Professional		$2,041.74	$2,089.30	$3,467.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,715.35	Professional		$2,238.72	$2,238.72	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,754.23 / $2,754.23	Facility		$1,659.59	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,754.23	Professional		$2,041.74	$2,041.74	$2,754.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $8,709.64	Facility		$1,905.46	$2,951.21	$8,709.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $20,892.96	Professional		$1,318.26	$1,905.46	$20,892.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $2,951.21	Facility		$2,238.72	$2,951.21	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,630.27	Professional		$1,318.26	$1,819.70	$2,630.27