Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,115.60 / $3,129.33 / $3,229.54	Facility		$2,115.60	$3,129.33	$3,229.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,115.60 / $2,487.37 / $4,407.50	Professional		$2,115.60	$2,487.37	$4,407.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,630.63 / $4,862.16 / $21,374.99	Facility		$4,630.63	$4,862.16	$21,374.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,289.94 / $2,694.05 / $3,748.13	Professional		$2,289.94	$2,694.05	$3,748.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,802.84 / $2,802.84 / $2,802.84	Facility		$2,802.84	$2,802.84	$2,802.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,382.41 / $2,886.93	Professional		$2,382.41	$2,382.41	$2,886.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,153.03 / $3,731.92 / $23,456.39	Facility		$2,153.03	$3,731.92	$23,456.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,864.83 / $2,507.19 / $4,439.57	Professional		$1,864.83	$2,507.19	$4,439.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,763.00 / $2,502.67 / $3,650.73	Professional		$1,763.00	$2,502.67	$3,650.73