Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,472.12 / $2,177.51 / $2,247.23	Facility		$1,472.12	$2,177.51	$2,247.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,472.12 / $1,855.48 / $3,066.91	Professional		$1,472.12	$1,855.48	$3,066.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,222.17 / $3,383.28 / $14,873.54	Facility		$3,222.17	$3,383.28	$14,873.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,791.96 / $1,929.14 / $2,606.87	Professional		$1,791.96	$1,929.14	$2,606.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,425.11 / $2,425.11 / $2,425.11	Facility		$2,425.11	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $2,497.86	Professional		$1,770.33	$1,770.33	$2,497.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,488.51 / $2,596.80 / $16,380.05	Facility		$1,488.51	$2,596.80	$16,380.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,312.80 / $1,770.94 / $3,311.76	Professional		$1,312.80	$1,770.94	$3,311.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.80 / $1,619.71 / $2,427.57	Professional		$1,312.80	$1,619.71	$2,427.57