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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,796.00 / $5,796.00 / $10,015.00	Professional		$5,796.00	$5,796.00	$10,015.00
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 $251.85 / $401.74 / $4,012.53	Professional		$251.85	$401.74	$4,012.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $13,918.00	Facility		$6,241.00	$9,837.00	$13,918.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $55.00 / $70.00	Professional		$50.00	$55.00	$70.00
United Facility/Professional Facility Modifier Low / Median / High Price $6,241.00 / $9,837.00 / $12,062.00	Facility		$6,241.00	$9,837.00	$12,062.00