Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,461.00 / $6,461.00 / $17,823.00	Facility		$6,461.00	$6,461.00	$17,823.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.00 / $7,344.00 / $10,517.23	Facility		$5,060.00	$7,344.00	$10,517.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,293.95 / $1,293.95 / $1,293.95	Professional		$1,293.95	$1,293.95	$1,293.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $16,323.00 / $24,101.00	Facility		$8,650.00	$16,323.00	$24,101.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,061.00 / $16,895.00 / $20,544.00	Facility		$7,061.00	$16,895.00	$20,544.00