Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,202.26 / $1,412.54	Facility		$1,174.90	$1,202.26	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,348.96	Professional		$1,174.90	$1,174.90	$1,348.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $151.36	Professional		$97.72	$109.65	$151.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $194.98	Professional		$123.03	$144.54	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,174.90	Facility		$1,096.48	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,380.38 / $3,311.31	Facility		$537.03	$1,380.38	$3,311.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $4,677.35	Professional		$1,047.13	$1,174.90	$4,677.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,862.09	Facility		$1,584.89	$1,584.89	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,047.13 / $1,202.26	Professional		$125.89	$1,047.13	$1,202.26