Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $17,782.79	Facility		$1,905.46	$1,905.46	$17,782.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,090.30 / $5,754.40	Facility		$1,584.89	$3,090.30	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $3,981.07 / $4,570.88	Professional		$134.90	$3,981.07	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $8,709.64 / $13,803.84	Facility		$6,025.60	$8,709.64	$13,803.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $10,471.29 / $16,982.44	Facility		$6,309.57	$10,471.29	$16,982.44