Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,243.75 / $3,318.88 / $3,425.17	Facility		$2,243.75	$3,318.88	$3,425.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,243.75 / $2,570.96 / $4,674.47	Professional		$2,243.75	$2,570.96	$4,674.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,911.12 / $5,156.68 / $22,669.73	Facility		$4,911.12	$5,156.68	$22,669.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,506.92 / $2,965.25 / $4,039.58	Professional		$2,506.92	$2,965.25	$4,039.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,801.20 / $2,801.20 / $2,801.20	Facility		$2,801.20	$2,801.20	$2,801.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $2,044.88	Professional		$2,044.88	$2,044.88	$2,044.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,243.75 / $3,957.97 / $22,982.54	Facility		$2,243.75	$3,957.97	$22,982.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,832.97 / $2,625.18 / $4,359.93	Professional		$1,832.97	$2,625.18	$4,359.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,722.23 / $2,450.10 / $3,477.81	Professional		$1,722.23	$2,450.10	$3,477.81