Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,010.72 / $2,974.18 / $3,069.43	Facility		$2,010.72	$2,974.18	$3,069.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,010.72 / $2,303.94 / $4,188.99	Professional		$2,010.72	$2,303.94	$4,188.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,401.05 / $4,621.10 / $20,315.25	Facility		$4,401.05	$4,621.10	$20,315.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,199.21 / $2,699.26 / $3,561.95	Professional		$2,199.21	$2,699.26	$3,561.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $3,060.59	Facility		$3,060.59	$3,060.59	$3,060.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $2,234.23	Professional		$2,234.23	$2,234.23	$2,234.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,010.72 / $3,686.31 / $20,671.75	Facility		$2,010.72	$3,686.31	$20,671.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,642.59 / $2,226.89 / $3,557.06	Professional		$1,642.59	$2,226.89	$3,557.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $4,090.62 / $4,090.62 / $4,090.62	Professional		$4,090.62	$4,090.62	$4,090.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,518.71 / $2,195.64 / $3,116.61	Professional		$1,518.71	$2,195.64	$3,116.61