Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.94 / $3,264.00 / $4,896.00	Facility		$277.94	$3,264.00	$4,896.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,264.00 / $3,264.00 / $3,468.00	Professional		$3,264.00	$3,264.00	$3,468.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,273.76 / $4,346.07 / $5,879.68	Facility		$1,273.76	$4,346.07	$5,879.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,060.00 / $3,264.00 / $4,080.00	Professional		$3,060.00	$3,264.00	$4,080.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Facility		$3,468.00	$3,468.00	$3,468.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,468.00 / $3,468.00 / $3,468.00	Professional		$3,468.00	$3,468.00	$3,468.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $3,264.00 / $4,080.00 / $8,747.52	Facility		$3,264.00	$4,080.00	$8,747.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $15,504.00	Professional		$3,400.00	$3,400.00	$15,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,400.00 / $3,400.00 / $4,046.00	Professional		$3,400.00	$3,400.00	$4,046.00